NPIMap

Organization Active NPI

Fairfax Smiles Dental Care PLC

  • Dental Clinic/Center
  • Fairfax, VA
National Provider Identifier
1285891911
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401410407 Issued in VA
Legal business name
FAIRFAX SMILES DENTAL CARE PLC
Practice address
3930 Pender Dr
Suite110
Fairfax, VA 22030-0985
Phone
(703) 359-9080
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vladimir Soyfer, DMD PHD JD
Title
Manager
Phone
(703) 359-9080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401410407 VA
Dental Clinic/Center 261QD0000X 0401410407 VA Primary

Addresses

Primary practice location

3930 Pender Dr
Suite110
Fairfax, VA 22030-0985

Mailing address

3930 Pender Dr
Suite110
Fairfax, VA 22030-0985
Phone (703) 359-9080

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1285891911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300985",
            "telephone_number": "703-359-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300985",
            "telephone_number": "703-359-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX SMILES DENTAL CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SOYFER",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-359-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PHD JD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410407",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401410407",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 20, 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.

Verify at the official NPI Registry.