NPIMap

Organization Active NPI

Old Town Dental Partners

Doing business as Nova Dental Partners

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1740566868
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10838 Issued in VA
Legal business name
OLD TOWN DENTAL PARTNERS
Doing business as
Nova Dental Partners
Practice address
225 Reinekers LN Ste GR2
Alexandria, VA 22314-2856
Phone
(703) 548-6100
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Dana Colasanto
Title
Front Office
Phone
(703) 683-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10838 VA Primary

Addresses

Primary practice location

225 Reinekers LN Ste GR2
Alexandria, VA 22314-2856

Mailing address

1500 King St Ste 300
Alexandria, VA 22314-2730
Phone (703) 683-6688

Other names 1

  • Nova Dental Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nova Dental Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 Reinekers Ln
Ste GR2
Alexandria, VA 22314
Phone (703) 548-6100

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1740566868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 KING ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142730",
            "telephone_number": "703-683-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 REINEKERS LN STE GR2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142856",
            "telephone_number": "703-548-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "COLASANTO",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "703-683-6688"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "10838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.