NPIMap

Organization Active NPI

Gentle Family Dentistry of Leesburg PC

  • Dentist
  • Leesburg, VA
National Provider Identifier
1447611959
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412962 Issued in VA
Legal business name
GENTLE FAMILY DENTISTRY OF LEESBURG PC
Practice address
19 Catoctin Cir NE
Leesburg, VA 20176-3100
Phone
(703) 737-0070
Fax
(703) 737-0075
NPI assigned
Mar 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Adam W ArriaNPI 1417104589
Title
Owner
Phone
(703) 737-0070

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 0401412962 VA Primary

Addresses

Primary practice location

19 Catoctin Cir NE
Leesburg, VA 20176-3100

Mailing address

19 Catoctin Cir NE
Leesburg, VA 20176-3100
Phone (703) 737-0070

National Provider Directory

National Provider Directory

Locations

19 Catoctin Cir NE
Leesburg, VA 20176
Phone (703) 737-0070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1447611959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CATOCTIN CIR NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763100",
            "telephone_number": "703-737-0070",
            "fax_number": "703-737-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CATOCTIN CIR NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763100",
            "telephone_number": "703-737-0070",
            "fax_number": "703-737-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FAMILY DENTISTRY OF LEESBURG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "ARRIA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-737-0070"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.