Active NPI
Ashburnfarm Dental Arts
- Advanced Practice Dental Therapist
- Ashburn, VA
National Provider Identifier
1487054128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Dental Therapist
- License
- 7312
- Legal business name
- ASHBURNFARM DENTAL ARTS
- Practice address
- 43330 Junction Plaza Suite 122
Ashburn, VA 20147 - Phone
- (703) 729-7900
- NPI assigned
- Aug 31, 2014
- Organization subpart
- Yes
- Parent organization
- LANDMARK SMILE DDS PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dan D Ashouripour, DDS
- Title
- President
- Phone
- (703) 625-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Dental Therapist | 125K00000X | 7312 | VA | Primary |
Addresses
Primary practice location
43330 Junction Plaza Suite 122
Ashburn, VA 20147
Mailing address
43330 Junction PLZ Ste 122
Ashburn, VA 20147-3407
Phone (703) 729-7900
Other names 1
- landmark smile dds pc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409443200000",
"number": "1487054128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43330 JUNCTION PLZ STE 122",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473407",
"telephone_number": "703-729-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43330 JUNCTION PLAZA SUITE 122",
"city": "ASHBURN",
"state": "VA",
"postal_code": "20147",
"telephone_number": "703-729-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHBURNFARM DENTAL ARTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LANDMARK SMILE DDS PC",
"enumeration_date": "2014-08-31",
"last_updated": "2014-08-31",
"status": "A",
"authorized_official_last_name": "ASHOURIPOUR",
"authorized_official_first_name": "DAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-625-6800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "125K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Dental Therapist",
"state": "VA",
"license": "7312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "landmark smile dds pc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.