NPIMap

Organization Active NPI

Occoquan Family & Cosmetic Dentistry

  • Dentist
  • Woodbridge, VA
National Provider Identifier
1700172749
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OCCOQUAN FAMILY & COSMETIC DENTISTRY
Practice address
1392 Old Bridge Rd
Woodbridge, VA 22192-2708
Phone
(703) 490-9094
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Lindsay Schiattareggia
Title
Front Desk
Phone
(703) 490-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1392 Old Bridge Rd
Woodbridge, VA 22192-2708

Mailing address

1392 Old Bridge Rd
Woodbridge, VA 22192-2708
Phone (703) 490-9094

National Provider Directory

National Provider Directory

Locations

1392 Old Bridge Rd
Woodbridge, VA 22192
Phone (703) 490-9094

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1700172749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922708",
            "telephone_number": "703-490-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922708",
            "telephone_number": "703-490-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCOQUAN FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "SCHIATTAREGGIA",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "703-490-9094"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.