NPIMap

Organization Active NPI

Natasha Khurana DDS PLLC

Doing business as Sporting Smiles Pediatric Dentistry & Family Orthodontics

  • Pediatric Dentistry
  • Gainesville, VA
National Provider Identifier
1770912560
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401413436 Issued in VA
Legal business name
NATASHA KHURANA DDS PLLC
Doing business as
Sporting Smiles Pediatric Dentistry & Family Orthodontics
Practice address
7915 Lake Manassas Dr
Suite 301
Gainesville, VA 20155-3258
Phone
(571) 248-1501
Fax
(703) 563-9237
NPI assigned
Nov 2, 2013
Last updated
Nov 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Dr. Natasha Khurana, DDSNPI 1669648028
Title
Owner, Pediatric Dentist
Phone
(571) 248-1501

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 0401413436 VA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 0401412461 VA

Addresses

Primary practice location

7915 Lake Manassas Dr
Suite 301
Gainesville, VA 20155-3258

Mailing address

7915 Lake Manassas Dr
Suite 301
Gainesville, VA 20155-3258
Phone (571) 248-1501

Other names 1

  • Sporting Smiles Pediatric Dentistry & Family Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

7915 Lake Manassas Dr
Ste 301
Gainesville, VA 20155
Phone (571) 248-1501

400 Holiday Ct
Ste 203
Warrenton, VA 20186
Phone (540) 347-0274

Practitioners & affiliated clinicians

Practitioners 2

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1770912560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "571-248-1501",
            "fax_number": "703-563-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "571-248-1501",
            "fax_number": "703-563-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA KHURANA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER, PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "571-248-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401413436",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401412461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sporting Smiles Pediatric Dentistry & Family Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2013; 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.