Individual provider Active NPI

Natalie Anne Vlasek Upchrurch, DMD

  • General Practice Dentistry
  • Oakton, VA
National Provider Identifier
1467588533
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411575 Issued in VA
Practice address
3141 Cobb Hill Lane
Oakton, VA 22124
Phone
(703) 477-3490
Fax
(540) 347-7520
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411575 VA Primary

Addresses

Primary practice location

3141 Cobb Hill Lane
Oakton, VA 22124

Mailing address

P.O. Box 12
Oakton, VA 22124
Phone (703) 477-3490

Other names 1

  • Natalja Upchurch Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401411575VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Flikeid, DDS, PLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1467588533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "22124",
            "telephone_number": "703-477-3490",
            "fax_number": "540-347-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 COBB HILL LANE",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "22124",
            "telephone_number": "703-477-3490",
            "fax_number": "540-347-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASEK UPCHRURCH",
        "first_name": "NATALIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALJA",
            "last_name": "UPCHURCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.