Individual provider Active NPI

Teena Sareen, D.M.D

  • Dentist
  • Manassas, VA
National Provider Identifier
1356793038
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414483 Issued in VA
Practice address
9940 Sowder Village SQ
Manassas, VA 20109-5464
Phone
(703) 361-2345
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414483 VA Primary

Addresses

Primary practice location

9940 Sowder Village SQ
Manassas, VA 20109-5464

Mailing address

9655 Saybrooke Dr
Bristow, VA 20136-2438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401414483VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
United Dental Arts PLLC Current Accepting new patients

Locations

9940 Sowder Village Sq
Manassas, VA 20109
Phone (703) 361-2345

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1356793038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 SAYBROOKE DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 SOWDER VILLAGE SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095464",
            "telephone_number": "703-361-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAREEN",
        "first_name": "TEENA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.