NPIMap

Individual provider Active NPI

Ali Yousef Ghatri, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, VA
National Provider Identifier
1376627844
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401-007950 Issued in VA
Practice address
6564 Loisdale CT Ste 110
Springfield, VA 22150-1822
Phone
(703) 719-5828
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401-007950 VA Primary

Addresses

Primary practice location

6564 Loisdale CT Ste 110
Springfield, VA 22150-1822

Mailing address

6564 Loisdale CT Ste 110
Springfield, VA 22150-1822
Phone (703) 719-5828

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
0401-007950VAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lets Smile Ortho Springfield PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Aug 8, 2021 Accepting new patients
Reston Orthodontic Associates, PLLC Past Accepting new patients
Springfield Orthodontic Associates, PLLC PastSince Jul 4, 2021 Accepting new patients

Locations

6564 Loisdale Ct
Ste 110
Springfield, VA 22150
Phone (703) 719-5828

Organizations & group practices 10

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1376627844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 LOISDALE CT STE 110",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501822",
            "telephone_number": "703-719-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 LOISDALE CT STE 110",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501822",
            "telephone_number": "703-719-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATRI",
        "first_name": "ALI",
        "middle_name": "YOUSEF",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401-007950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.