Active NPI
My Braces Doctor, PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairfax, VA
National Provider Identifier
1285807370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- MY BRACES DOCTOR, PC
- Practice address
- 10721 Main St
#300
Fairfax, VA 22030-6914 - Phone
- (703) 591-6686
- Fax
- (703) 277-7674
- NPI assigned
- Apr 9, 2008
- Last updated
- Apr 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nahid N Sina, DMD, MS
- Title
- Pres
- Phone
- (703) 966-7959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU | Primary |
Addresses
Primary practice location
10721 Main St
#300
Fairfax, VA 22030-6914
Mailing address
10721 Main St
#300
Fairfax, VA 22030-6914
Phone (703) 591-6686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LOCATION ID: 010495 | Medicaid | VA | |
| PROVIDER NO: 0012081 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
10721 Main St
Ste 300
Fairfax, VA 22030
Phone (703) 591-6686
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairfax, VA
- NPI 1912086703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1285807370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10721 MAIN ST",
"address_2": "#300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306914",
"telephone_number": "703-591-6686",
"fax_number": "703-277-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 MAIN ST",
"address_2": "#300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306914",
"telephone_number": "703-591-6686",
"fax_number": "703-277-7674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY BRACES DOCTOR, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "SINA",
"authorized_official_first_name": "NAHID",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "703-966-7959",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DMD, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LOCATION ID: 010495",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PROVIDER NO: 0012081",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.