Sanae Bouallali Berrada

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411776 Issued in VA

Legal business name

SANAE BOUALLALI BERRADA

Doing business as

Tysons Dental Esthetics

Practice address

7641 Leesburg Pike
Falls Church, VA 22043-2520

Phone

(703) 821-8111

Fax

(703) 821-1512

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Sanae Berrada, DDS

Title

Owner

Phone

(703) 821-8111

Specialties & licenses 1

Addresses

Other names 1

• Tysons Dental Esthetics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aya Jawad, DDS

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1023660925
  NPD (past)
• Harold Seigel, DDS

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1164697363
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1689009961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7641 LEESBURG PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432520",
            "telephone_number": "703-821-8111",
            "fax_number": "703-821-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7641 LEESBURG PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432520",
            "telephone_number": "703-821-8111",
            "fax_number": "703-821-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANAE BOUALLALI BERRADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "BERRADA",
        "authorized_official_first_name": "SANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-821-8111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tysons Dental Esthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Swathi Deo Vishnu Sambatha
• Albert Samost, MD
• Edrian Gabriel Molinyawe Samoy
• Palak Turakhia Sampat, MD
• Evelyn Teague Samuel, D.M.D.
• Danielle N Sanders, PA-C
• Julia Elise Sanders, LCSW, LICSW, LCSW-C
• Thomas Howard Sanders, MD
• Harleen Kaur Sandhu, NP
• Julie Hayden Sandlin, PHARM D

• General Practice Dentistry in Falls Church, VA
• Providers in Falls Church, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.