Organization Active NPI

Dr Toothfairy PC

  • Pediatric Dentistry
  • Falls Church, VA
National Provider Identifier
1457066292
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DR TOOTHFAIRY PC
Practice address
105 E Annandale Rd Ste 215
Falls Church, VA 22046-4422
Phone
(703) 677-8775
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Dr. Lara Saleh, DDS MSNPI 1144560665
Title
Owner
Phone
(810) 333-6063

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

105 E Annandale Rd Ste 215
Falls Church, VA 22046-4422

Mailing address

105 E Annandale Rd Ste 215
Falls Church, VA 22046-4422

National Provider Directory

National Provider Directory

Locations

105 E Annandale Rd
Ste 215
Falls Church, VA 22046
Phone (703) 677-8775

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": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1457066292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E ANNANDALE RD STE 215",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E ANNANDALE RD STE 215",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464422",
            "telephone_number": "703-677-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TOOTHFAIRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-333-6063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.