Jeena Elizabeth Devasia, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401414849 Issued in VA

Practice address

6707 Old Dominion Dr
Suite 240
MC Lean, VA 22101-4504

Phone

(703) 734-2750

NPI assigned

Jun 5, 2015

Last updated

Jun 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1346620242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 OLD CHESTERBROOK RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014741",
            "telephone_number": "703-356-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 OLD DOMINION DR",
            "address_2": "SUITE 240",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014504",
            "telephone_number": "703-734-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVASIA",
        "first_name": "JEENA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynn Dershewitz, PSY.D.
• Nicholas Desantis, DC
• Revati Shashank Deshpande
• Maia Selena Deubert, PSY.D.
• William G. Deubert, PSY.D.
• Joannie Ivette Deveaux
• Regina Devlin, CPNP, IBCLC, PMHS
• John Timothy Dewinkler, D.D.S.
• Silviu Catalin Diaconu, M.D.
• Mohammad Reza Didehvar, MD

• Dentist in McLean, VA
• Providers in McLean, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.