Organization Active NPI

Novicare Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alexandria, VA
National Provider Identifier
1356819981
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NOVICARE ORTHODONTICS PLLC
Practice address
717 Pendleton St
Alexandria, VA 22314-1820
Phone
(571) 970-3801
Fax
(571) 970-3827
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Shiva Kermanshi, DMD
Title
Owner
Phone
(703) 861-6797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

717 Pendleton St
Alexandria, VA 22314-1820

Mailing address

717 Pendleton St
Alexandria, VA 22314-1820
Phone (571) 970-3801

National Provider Directory

National Provider Directory

Locations

717 Pendleton St
Alexandria, VA 22314
Phone (571) 970-3801

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": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1356819981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PENDLETON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141820",
            "telephone_number": "571-970-3801",
            "fax_number": "571-970-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PENDLETON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141820",
            "telephone_number": "571-970-3801",
            "fax_number": "571-970-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVICARE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "KERMANSHI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-861-6797",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.