Organization Active NPI

I.L. Forbes DDS PLC

Doing business as Northern Va Affinity Dental Group

  • Dentist
  • Annandale, VA
National Provider Identifier
1477969798
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412668 Issued in VA
Legal business name
I.L. FORBES DDS PLC
Doing business as
Northern Va Affinity Dental Group
Practice address
7023 Little River Tpke Ste 104
Annandale, VA 22003-5939
Phone
(703) 256-6755
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Irama Lorena Forbes, DDS
Title
Owner
Phone
(703) 256-6755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401412668 VA Primary

Addresses

Primary practice location

7023 Little River Tpke Ste 104
Annandale, VA 22003-5939

Mailing address

7023 Little River Tpke Ste 104
Annandale, VA 22003-5939
Phone (703) 256-6755

Other names 1

  • Northern Va Affinity Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

7023 Little River Tpke
Ste 104
Annandale, VA 22003
Phone (703) 256-6755

Practitioners & affiliated clinicians

Practitioners 1

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": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1477969798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 LITTLE RIVER TPKE STE 104",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035939",
            "telephone_number": "703-256-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 LITTLE RIVER TPKE STE 104",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035939",
            "telephone_number": "703-256-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.L. FORBES DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "IRAMA",
        "authorized_official_middle_name": "LORENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-256-6755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Va Affinity Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.