Active NPI
Jack C Phass Jr DDS Inc
- General Practice Dentistry
- Falls Church, VA
National Provider Identifier
1295928208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401006623
- Legal business name
- JACK C PHASS JR DDS INC
- Practice address
- 5205 Leesburg Pike
Suite 101
Falls Church, VA 22041-3802 - Phone
- (703) 824-0055
- Fax
- (703) 998-9859
- NPI assigned
- Aug 22, 2007
- Organization subpart
- Yes
- Parent organization
- JACK C PHASS JR DDS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dean J Phass, DDS
- Title
- President
- Phone
- (703) 824-0055
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401007124 | VA | |
| General Practice Dentistry | 1223G0001X | 0401006623 | VA | Primary |
| General Practice Dentistry | 1223G0001X | 0401008644 | VA |
Addresses
Primary practice location
5205 Leesburg Pike
Suite 101
Falls Church, VA 22041-3802
Mailing address
5205 Leesburg Pike
Suite 101
Falls Church, VA 22041-3802
Phone (703) 824-0055
National Provider Directory
National Provider Directory- Part of
- Jack C Phass Jr DDS Inc
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187740800000",
"number": "1295928208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 LEESBURG PIKE",
"address_2": "SUITE 101",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220413802",
"telephone_number": "703-824-0055",
"fax_number": "703-998-9859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 LEESBURG PIKE",
"address_2": "SUITE 101",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220413802",
"telephone_number": "703-824-0055",
"fax_number": "703-998-9859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACK C PHASS JR DDS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JACK C PHASS JR DDS INC",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A",
"authorized_official_last_name": "PHASS",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-824-0055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "VA",
"license": "0401007124",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401006623",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401008644",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.