NPIMap

Organization Active NPI

Oasis Pediatric Dental Care, PC

  • Pediatric Dentistry
  • Falls Church, VA
National Provider Identifier
1497075220
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401411508 Issued in VA
Legal business name
OASIS PEDIATRIC DENTAL CARE, PC
Practice address
800 W Broad St
Suite 307
Falls Church, VA 22046-3142
Phone
(703) 854-1710
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Nathalie Phaeton, DDSNPI 1376708180
Title
Owner/Pediatric Dentist
Phone
(703) 854-1710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 0401411508 VA Primary

Addresses

Primary practice location

800 W Broad St
Suite 307
Falls Church, VA 22046-3142

Mailing address

800 W Broad St
Suite 307
Falls Church, VA 22046-3142
Phone (703) 854-1710

National Provider Directory

National Provider Directory

Locations

800 W Broad St
Ste 307
Falls Church, VA 22046
Phone (703) 854-1710

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1497075220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W BROAD ST",
            "address_2": "SUITE 307",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463142",
            "telephone_number": "703-854-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BROAD ST",
            "address_2": "SUITE 307",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463142",
            "telephone_number": "703-854-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PEDIATRIC DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "PHAETON",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "703-854-1710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401411508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.