Reston Orthodontic Associates, PLLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0401007980 Issued in VA

Legal business name

RESTON ORTHODONTIC ASSOCIATES, PLLC

Practice address

1984 Isaac Newton SQ W Ste 200
Reston, VA 20190-5040

Phone

(703) 435-1500

Fax

(703) 435-3332

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lucy L McCabe

Title

Administrator

Phone

(703) 719-5828

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Yousef Ghatri, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, VA
  • NPI 1376627844
  NPD (past)
• Neda Kalantar, D.D.S.

  • Pediatric Dentistry
  • Reston, VA
  • NPI 1053466854
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487878690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 ISAAC NEWTON SQ W STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905040",
            "telephone_number": "703-435-1500",
            "fax_number": "703-435-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 ISAAC NEWTON SQ W STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905040",
            "telephone_number": "703-435-1500",
            "fax_number": "703-435-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON ORTHODONTIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-719-5828",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0401007980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reston Hospitalists, LLC
• Reston Hospitalists, LLC
• Reston Medical Associates
• Reston Medical Associates, LLC
• Reston Oral and Facial Surgery PLLC
• Reston Pathology Associates, P.L.L.C.
• Reston Pediatrics Associates,LTD
• Reston Psychological Center, P.C.
• Reston Radiology Consultants, PC
• Reston Sunrise Dentistry, PC

• Health Maintenance Organization in Reston, VA
• Providers in Reston, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.