Organization Active NPI

Deena Hadithi DMD, PC.

Doing business as General Dentistry and Orthodontics

  • Dentist
  • Springfield, VA
National Provider Identifier
1720624307
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEENA HADITHI DMD, PC.
Doing business as
General Dentistry and Orthodontics
Practice address
7210 Old Keene Mill Rd Ste 3
Springfield, VA 22150-3442
Phone
(703) 644-7300
Fax
(703) 866-4319
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Dr. Deena Hadithi, DMDNPI 1881801314
Title
President
Phone
(703) 644-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

7210 Old Keene Mill Rd Ste 3
Springfield, VA 22150-3442

Mailing address

7210 Old Keene Mill Rd Ste 3
Springfield, VA 22150-3442
Phone (703) 644-7300

Other names 1

  • General Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

7210 Old Keene Mill Rd
Fl 3
Springfield, VA 22150
Phone (703) 644-7300

Practitioners & affiliated clinicians

Practitioners 1

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": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1720624307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 OLD KEENE MILL RD STE 3",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503442",
            "telephone_number": "703-644-7300",
            "fax_number": "703-866-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 OLD KEENE MILL RD STE 3",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503442",
            "telephone_number": "703-644-7300",
            "fax_number": "703-866-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEENA HADITHI DMD, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "HADITHI",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-644-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.