NPIMap

Organization Active NPI

Skinner Ossakow & Associates

  • Dentist
  • Herndon, VA
National Provider Identifier
1669605754
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401004432 Issued in VA
Legal business name
SKINNER OSSAKOW & ASSOCIATES
Practice address
3065 Centreville Rd Unit a
Herndon, VA 20171-3717
Phone
(703) 437-0333
Fax
(703) 464-8295
NPI assigned
Aug 24, 2009
Organization subpart
Yes
Parent organization
SKINNER OSSAKOW & ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Tara Golden
Title
Office Manager
Phone
(703) 437-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401004432 VA Primary

Addresses

Primary practice location

3065 Centreville Rd Unit a
Herndon, VA 20171-3717

Mailing address

3065 Centreville Rd Unit a
Herndon, VA 20171-3717
Phone (703) 437-0333

National Provider Directory

National Provider Directory
Tax ID family
Skinner Ossakow Associates3 organizations share this tax ID, including this one
Part of
Skinner Ossakow Associates

Other organizations with this tax ID 2

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

Locations

3065 Centreville Rd
Unit A
Herndon, VA 20171
Phone (703) 437-0333

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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1669605754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 CENTREVILLE RD UNIT A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713717",
            "telephone_number": "703-437-0333",
            "fax_number": "703-464-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 CENTREVILLE RD UNIT A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713717",
            "telephone_number": "703-437-0333",
            "fax_number": "703-464-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER OSSAKOW & ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKINNER OSSAKOW & ASSOCIATES",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-437-0333"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401004432",
            "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 Aug 24, 2009; 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.