Active NPI
Let'S Smile Ortho Herndon, PLLC
- Dental Clinic/Center
- Herndon, VA
National Provider Identifier
1497480974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.