Organization Active NPI

Let'S Smile Ortho Herndon, PLLC

  • Dental Clinic/Center
  • Herndon, VA
National Provider Identifier
1497480974
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LET'S SMILE ORTHO HERNDON, PLLC
Practice address
13015 Worldgate Dr
Herndon, VA 20170-4374
Phone
(703) 719-5828
NPI assigned
Jul 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Mr. Ali Y Ghatri, DDS
Title
President
Phone
(703) 719-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13015 Worldgate Dr
Herndon, VA 20170-4374

Mailing address

4210 Fairfax Corner Ave W Ste 245
Fairfax, VA 22030-8627
Phone (703) 719-5828

National Provider Directory

National Provider Directory

Locations

4210 Fairfax Corner Ave W
Ste 245
Fairfax, VA 22030
Phone (703) 719-5828

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1497480974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 FAIRFAX CORNER AVE W STE 245",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308627",
            "telephone_number": "703-719-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13015 WORLDGATE DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704374",
            "telephone_number": "703-719-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET'S SMILE ORTHO HERNDON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "GHATRI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-719-5828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.