NPIMap

Organization Active NPI

Tysons Corner Advanced Dental Center PC

  • General Practice Dentistry
  • Vienna, VA
National Provider Identifier
1356528327
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8173 Issued in VA
Legal business name
TYSONS CORNER ADVANCED DENTAL CENTER PC
Practice address
8150 Leesburg Pike
Suite 900
Vienna, VA 22182
Phone
(703) 288-4700
Fax
(703) 288-4242
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Hasan Sami Osseivan, DDS MS MAGD
Title
Owner President
Phone
(202) 460-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8173 VA Primary

Addresses

Primary practice location

8150 Leesburg Pike
Suite 900
Vienna, VA 22182

Mailing address

8150 Leesburg Pike
Suite 900
Vienna, VA 22182
Phone (703) 288-4700

National Provider Directory

National Provider Directory

Locations

8150 Leesburg Pike
Ste 900
Vienna, VA 22182
Phone (703) 288-4700

Practitioners & affiliated clinicians

Practitioners 5

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1356528327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE",
            "address_2": "SUITE 900",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "703-288-4700",
            "fax_number": "703-288-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE",
            "address_2": "SUITE 900",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "703-288-4700",
            "fax_number": "703-288-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSONS CORNER ADVANCED DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "OSSEIVAN",
        "authorized_official_first_name": "HASAN",
        "authorized_official_middle_name": "SAMI",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "202-460-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS MAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "8173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.