NPIMap

Organization Active NPI

Little Dental Studio, P.C.

  • Pediatric Dentistry
  • Alexandria, VA
National Provider Identifier
1609591981
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LITTLE DENTAL STUDIO, P.C.
Practice address
6303 Little River Tpke Ste 345
Alexandria, VA 22312-5101
Phone
(703) 495-3565
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Angela Austin, DMDNPI 1942235627
Title
Practice Owner
Phone
(703) 495-3565

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 Primary

Addresses

Primary practice location

6303 Little River Tpke Ste 345
Alexandria, VA 22312-5101

Mailing address

6303 Little River Tpke Ste 345
Alexandria, VA 22312-5101
Phone (703) 942-8404

National Provider Directory

National Provider Directory

Locations

6303 Little River Tpke
Ste 345
Alexandria, VA 22312
Phone (703) 495-3565

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": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1609591981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 345",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125101",
            "telephone_number": "703-942-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 345",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125101",
            "telephone_number": "703-495-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE DENTAL STUDIO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "703-495-3565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 Oct 13, 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.