Organization Active NPI

Dr. Ricardo Gaitan

  • Dental Clinic/Center
  • Sterling, VA
National Provider Identifier
1437326006
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401008771 Issued in VA
Legal business name
DR. RICARDO GAITAN
Practice address
21525 Ridgetop Cir
Suite #220
Sterling, VA 20166-6510
Phone
(703) 450-5302
Fax
(703) 450-5694
NPI assigned
May 13, 2008
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Ricardo Moises Gaitan, DDS/PCNPI 1184826562
Title
Dental
Phone
(703) 450-5302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401008771 VA Primary

Addresses

Primary practice location

21525 Ridgetop Cir
Suite #220
Sterling, VA 20166-6510

Mailing address

21525 Ridgetop Cir
Suite #220
Sterling, VA 20166-6510
Phone (703) 450-5302

National Provider Directory

National Provider Directory

Locations

21525 Ridgetop Cir
Ste 220
Sterling, VA 20166
Phone (703) 450-5302

Practitioners & affiliated clinicians

Practitioners 2

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1437326006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21525 RIDGETOP CIR",
            "address_2": "SUITE #220",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666510",
            "telephone_number": "703-450-5302",
            "fax_number": "703-450-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21525 RIDGETOP CIR",
            "address_2": "SUITE #220",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666510",
            "telephone_number": "703-450-5302",
            "fax_number": "703-450-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICARDO GAITAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "GAITAN",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "MOISES",
        "authorized_official_title_or_position": "DENTAL",
        "authorized_official_telephone_number": "703-450-5302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS/PC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401008771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

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