Individual provider Active NPI

Natasha Khurana, DDS, IBCLC

  • Pediatric Dentistry
  • Gainesville, VA
National Provider Identifier
1669648028
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14857 Issued in MD
Practice address
7915 Lake Manassas Drive
Suite 301
Gainesville, VA 20155-3258
Phone
(703) 743-5937
Fax
(703) 563-9237
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02365700 NJ
Pediatric Dentistry 1223P0221X 26138 TX
Pediatric Dentistry 1223P0221X 0401413436 VA
Pediatric Dentistry 1223P0221X 6000 LA
Pediatric Dentistry 1223P0221X 14857 MD Primary

Addresses

Primary practice location

7915 Lake Manassas Drive
Suite 301
Gainesville, VA 20155-3258

Mailing address

7627 Coddle Harbor LN
Potomac, MD 20854-3200
Phone (240) 305-5552

Other practice location 1

14812 Physicians Ln Ste 161
Rockville, MD 20850-3911
Phone (301) 260-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6000LAMDClinical Social Worker
22DI02365700NJMDDentist
0401413436VAMDPediatric Dentist
14857MDMDPharmacist
26138TXMDComputed Tomography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natasha Khurana DDS PLLC Pediatric Dentistry PastSince Jul 28, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nkhurana25504@soc.inova.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1669648028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 CODDLE HARBOR LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543200",
            "telephone_number": "240-305-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DRIVE",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "703-743-5937",
            "fax_number": "703-563-9237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14812 Physicians Ln Ste 161",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503911",
            "country_code": "US",
            "telephone_number": "301-260-5655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "DDS, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02365700",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "26138",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401413436",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "6000",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.