Organization Active NPI

Aquia Dental Care

  • Dental Clinic/Center
  • Stafford, VA
National Provider Identifier
1386892313
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401410695 Issued in VA
Legal business name
AQUIA DENTAL CARE
Practice address
2712 Jefferson Davis Hwy
Suite 201
Stafford, VA 22554-1733
Phone
(540) 720-8630
Fax
(540) 720-8632
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Mrs. Aicha Lyazidi, DDS
Title
Owner
Phone
(540) 720-8630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401410695 VA Primary

Addresses

Primary practice location

2712 Jefferson Davis Hwy
Suite 201
Stafford, VA 22554-1733

Mailing address

2712 Jefferson Davis Hwy
Suite 201
Stafford, VA 22554-1733
Phone (540) 720-8630

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1386892313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 201",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541733",
            "telephone_number": "540-720-8630",
            "fax_number": "540-720-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 201",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541733",
            "telephone_number": "540-720-8630",
            "fax_number": "540-720-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUIA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "LYAZIDI",
        "authorized_official_first_name": "AICHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-720-8630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401410695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.