Individual provider Active NPI

Dena Shaban

  • Registered Dietitian
  • Gainesville, VA
National Provider Identifier
1740058445
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
8078 Crescent Park Dr Ste 207
Gainesville, VA 20155-3449
Phone
(571) 472-4487
Fax
(571) 472-4487
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

8078 Crescent Park Dr Ste 207
Gainesville, VA 20155-3449

Mailing address

8078 Crescent Park Dr Ste 207
Gainesville, VA 20155-3449

Other practice location 1

8100 Ashton Ave Ste 101
Manassas, VA 20109-5647
Phone (571) 472-4487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216000231 VA Practitioner - Registered Dietitian Or Nutrition Professional 2567956667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2101 Highland Ave S
Suite 300
Birmingham, AL 35205-4009

8100 Ashton Ave
Suite 101
Manassas, VA 20109-5622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Family Practice Centers PC CurrentSince Sep 4, 2025 Accepting new patients

Locations

20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003

8078 Crescent Park Dr
Ste 207
Gainesville, VA 20155
Phone (571) 472-4487

8100 Ashton Ave
Ste 101
Sudley Springs, VA 20109
Phone (703) 205-7330

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1740058445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8078 CRESCENT PARK DR STE 207",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 CRESCENT PARK DR STE 207",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553449",
            "telephone_number": "571-472-4487",
            "fax_number": "571-472-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Ashton Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201095647",
            "country_code": "US",
            "telephone_number": "571-472-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABAN",
        "first_name": "DENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2025-08-15",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.