Organization Active NPI

Saxena Dental Fairfax, PLC

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1417279589
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410456 Issued in VA
Legal business name
SAXENA DENTAL FAIRFAX, PLC
Doing business as
Elite Smiles Dental
Practice address
3903 Fair Ridge Dr
Suite 214
Fairfax, VA 22033-2906
Phone
(703) 877-0775
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Dr. Sunil Saxena, M.D.
Title
President
Phone
(703) 508-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401410456 VA Primary

Addresses

Primary practice location

3903 Fair Ridge Dr
Suite 214
Fairfax, VA 22033-2906

Mailing address

20023 Belmont Station Dr
Ashburn, VA 20147-6611
Phone (703) 508-4421

Other names 1

  • Elite Smiles Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1417279589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20023 BELMONT STATION DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476611",
            "telephone_number": "703-508-4421",
            "fax_number": "703-953-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR",
            "address_2": "SUITE 214",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332906",
            "telephone_number": "703-877-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAXENA DENTAL FAIRFAX, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-508-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.