Active NPI
Dr. Ricardo Gaitan
- Dental Clinic/Center
- Sterling, VA
National Provider Identifier
1437326006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 0401008771
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricardo Moises Gaitan, DDS/PC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Sterling, VA
- NPI 1184826562
-
- Dentist
- Sterling, VA
- NPI 1114569837
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.