NPIMap

Organization Active NPI

Cascades Dental of Centreville

  • General Practice Dentistry
  • Centreville, VA
National Provider Identifier
1760684146
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6816 Issued in VA
Legal business name
CASCADES DENTAL OF CENTREVILLE
Practice address
6134 Redwood Square Center Suite 202
Centreville, VA 20121
Phone
(703) 266-2483
Fax
(703) 266-9300
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Dr. Jose I AunonNPI 1740577717
Title
Dentist
Phone
(703) 266-2483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6816 VA Primary

Addresses

Primary practice location

6134 Redwood Square Center Suite 202
Centreville, VA 20121

Mailing address

6134 Redwood Square Center Suite 202
Centreville, VA 20121
Phone (703) 266-2483

National Provider Directory

National Provider Directory

Locations

6134 Redwood Square Ctr
Ste 202
Centreville, VA 20121
Phone (703) 266-2483

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1760684146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 REDWOOD SQUARE CENTER SUITE 202",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-266-2483",
            "fax_number": "703-266-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 REDWOOD SQUARE CENTER SUITE 202",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-266-2483",
            "fax_number": "703-266-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADES DENTAL OF CENTREVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "AUNON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-266-2483",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.