Organization Active NPI

Northern Virginia Dental Associates, PC

  • General Practice Dentistry
  • Springfield, VA
National Provider Identifier
1497127690
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTHERN VIRGINIA DENTAL ASSOCIATES, PC
Practice address
6116 Rolling Rd
Suite 316
Springfield, VA 22152-1521
Phone
(703) 451-8332
Fax
(703) 451-4661
NPI assigned
Oct 27, 2015
Organization subpart
Yes
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Cynthia Loayza
Title
Administrator
Phone
(703) 451-8332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6116 Rolling Rd
Suite 316
Springfield, VA 22152-1521

Mailing address

6116 Rolling Rd
Suite 316
Springfield, VA 22152-1521
Phone (703) 451-8332

National Provider Directory

National Provider Directory
Tax ID family
Mark a Winkler DDS Neil H Charaipotra DDS PC2 organizations share this tax ID, including this one
Part of
Giovanni P Iuculano DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1497127690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD",
            "address_2": "SUITE 316",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521521",
            "telephone_number": "703-451-8332",
            "fax_number": "703-451-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD",
            "address_2": "SUITE 316",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521521",
            "telephone_number": "703-451-8332",
            "fax_number": "703-451-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA DENTAL ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTOMAC VALLEY DENTAL CARE, PLLC",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "LOAYZA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-451-8332"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.