Organization Active NPI

Ark Dental

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1376985531
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411290 Issued in VA
Legal business name
ARK DENTAL
Practice address
8725 Digges Rd
Manassas, VA 20110-4403
Phone
(703) 368-5595
Fax
(703) 330-3958
NPI assigned
Jul 29, 2013
Last updated
Jul 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Dr. Sunitha Palle, DDS
Title
Dentist
Phone
(703) 368-5595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401411290 VA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401411063 VA

Addresses

Primary practice location

8725 Digges Rd
Manassas, VA 20110-4403

Mailing address

8725 Digges Rd
Manassas, VA 20110-4403
Phone (703) 368-5595

National Provider Directory

National Provider Directory
Tax ID family
Ark Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8725 Digges Rd
Manassas, VA 20110
Phone (508) 441-9521

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1376985531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403",
            "telephone_number": "703-368-5595",
            "fax_number": "703-330-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403",
            "telephone_number": "703-368-5595",
            "fax_number": "703-330-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "PALLE",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-368-5595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411290",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411063",
            "primary": false
        }
    ],
    "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 29, 2013; 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.