NPIMap

Organization Active NPI

Nana Dickson, DDS PC

Doing business as Allegra Dental Center

  • Dentist
  • Fairfax, VA
National Provider Identifier
1437521598
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414277 Issued in VA
Legal business name
NANA DICKSON, DDS PC
Doing business as
Allegra Dental Center
Practice address
3040 Williams Dr
Suite #201
Fairfax, VA 22031-4618
Phone
(571) 419-6897
Fax
(571) 419-6889
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Dr. Nana Esi Dickson, DDSNPI 1629351994
Title
Owner/Dentist
Phone
(571) 419-6897

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401414277 VA Primary

Addresses

Primary practice location

3040 Williams Dr
Suite #201
Fairfax, VA 22031-4618

Mailing address

6251 Casdin Dr
Alexandria, VA 22310-2674
Phone (503) 803-8297

Other names 1

  • Allegra Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

3040 Williams Dr
Ste 201
Fairfax, VA 22031
Phone (571) 419-6897

Practitioners & affiliated clinicians

Practitioners 3

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": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1437521598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 CASDIN DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102674",
            "telephone_number": "503-803-8297",
            "fax_number": "571-419-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR",
            "address_2": "SUITE #201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "571-419-6897",
            "fax_number": "571-419-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANA DICKSON, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "NANA",
        "authorized_official_middle_name": "ESI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "571-419-6897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegra Dental Center",
            "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 Nov 11, 2015; 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.