Opann Dental PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

OPANN DENTAL PLLC

Practice address

4220 Evergreen LN
Annandale, VA 22003-3209

Phone

(646) 648-2528

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Amin NeishabooryNPI 1649902396

Title

Owner/Orthodontist

Phone

(646) 648-2528

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Amin Neishaboory, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • MC Lean, VA
  • NPI 1649902396
  NPD Authorized official

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1740008499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033209",
            "telephone_number": "646-648-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033209",
            "telephone_number": "646-648-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPANN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "NEISHABOORY",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "646-648-2528",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisat Okanlawon, MD
• Christopher Osezua Okoeguale, REGISTERED NURSE
• Old Dominion Pathology Associates, LLC
• Ikran Abdullahi Omar
• Onehealth Inc
• Optimum Chiropractic and Health Center, LLC
• Optimum Physical Therapy LLC
• Amy Orlando, OTR/L
• Orthopedic Physical Therapy of Northern Virginia LTD
• Neva S. Ortuno, LPC

• Pediatric Dentistry in Annandale, VA
• Providers in Annandale, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.