NPIMap

Organization Active NPI

Angel Hands Dentistry PLLC

  • Dentist
  • Woodbridge, VA
National Provider Identifier
1336574219
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANGEL HANDS DENTISTRY PLLC
Practice address
13824 Smoketown Rd
Woodbridge, VA 22192-4210
Phone
(571) 285-2980
Fax
(571) 659-2055
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Thoaivan Phan, D.D.SNPI 1619054624
Title
Dentist
Phone
(571) 285-2980

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

13824 Smoketown Rd
Woodbridge, VA 22192-4210

Mailing address

13824 Smoketown Rd
Woodbridge, VA 22192-4210
Phone (571) 285-2980

National Provider Directory

National Provider Directory

Locations

13824 Smoketown Rd
Woodbridge, VA 22192
Phone (571) 285-2980

Practitioners & affiliated clinicians

Practitioners 1

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1336574219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13824 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924210",
            "telephone_number": "571-285-2980",
            "fax_number": "571-659-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13824 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924210",
            "telephone_number": "571-285-2980",
            "fax_number": "571-659-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HANDS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "THOAIVAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "571-285-2980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.