Organization Active NPI

Malik Usman DDS, PC

  • Dentist
  • Manassas, VA
National Provider Identifier
1811340599
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413042 Issued in VA
Legal business name
MALIK USMAN DDS, PC
Practice address
8559 Sudley Road
Manassas, VA 20110
Phone
(571) 350-9292
Fax
(571) 482-6979
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Malik Usman, DDSNPI 1225291800
Title
Dentist, President
Phone
(774) 208-4431

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401413042 VA Primary

Addresses

Primary practice location

8559 Sudley Road
Manassas, VA 20110

Mailing address

8559 Sudley Road
Manassas, VA 20110
Phone (571) 350-9292

Other names 1

  • Manassas Dental Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

8559 Sudley Rd
Manassas, VA 20110
Phone (571) 350-9292

Practitioners & affiliated clinicians

Practitioners 2

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": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1811340599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8559 SUDLEY ROAD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-350-9292",
            "fax_number": "571-482-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8559 SUDLEY ROAD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-350-9292",
            "fax_number": "571-482-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIK USMAN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "USMAN",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "DENTIST, PRESIDENT",
        "authorized_official_telephone_number": "774-208-4431",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manassas Dental Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.