Individual provider Active NPI

Mark Ornoff, DDS

  • General Practice Dentistry
  • Herndon, VA
National Provider Identifier
1295892131
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6553 Issued in VA
Practice address
13873 Park Center Rd
Herndon, VA 20171-3223
Phone
(703) 478-0115
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6553 VA Primary

Addresses

Primary practice location

13873 Park Center Rd
Herndon, VA 20171-3223

Mailing address

13873 Park Center Rd
Herndon, VA 20171-3223
Phone (703) 478-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729008568 CA Order and Referring Only - DentistPractitioner - Dentist 1850605247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6553VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mazin Alayssami, DMD & Associates PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247270400000",
    "number": "1295892131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13873 PARK CENTER RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713223",
            "telephone_number": "703-478-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13873 PARK CENTER RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713223",
            "telephone_number": "703-478-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNOFF",
        "first_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.