NPIMap

Organization Active NPI

Forest Cosmetic & Family Dentistry

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1609398726
Registry record updated Jul 21, 2022
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412694 Issued in VA
Legal business name
FOREST COSMETIC & FAMILY DENTISTRY
Practice address
3608 Forest Dr
Alexandria, VA 22302-1043
Phone
(703) 671-8431
Fax
(703) 988-2639
NPI assigned
Jul 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David Tran
Title
Office Manager
Phone
(703) 231-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401412694 VA Primary

Addresses

Primary practice location

3608 Forest Dr
Alexandria, VA 22302-1043

Mailing address

3608 Forest Dr
Alexandria, VA 22302-1043
Phone (703) 671-8431

National Provider Directory

National Provider Directory

Locations

3608 Forest Dr
Alexandria, VA 22302
Phone (703) 671-8431

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609398726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 FOREST DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021043",
            "telephone_number": "703-671-8431",
            "fax_number": "703-988-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 FOREST DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021043",
            "telephone_number": "703-671-8431",
            "fax_number": "703-988-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST COSMETIC & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-231-8750"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.