Organization Active NPI

Ashburnfarm Dental Arts

  • Advanced Practice Dental Therapist
  • Ashburn, VA
National Provider Identifier
1487054128
Registry record updated Aug 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
7312 Issued in VA
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2014

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)CodeLicenseStatePrimary
Advanced Practice Dental TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.