Organization Active NPI

Dr Ansam Zaiber LLC

Doing business as Springfield Dental Care

  • Dentist
  • Springfield, VA
National Provider Identifier
1811627169
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR ANSAM ZAIBER LLC
Doing business as
Springfield Dental Care
Practice address
6800 Backlick Rd Ste 101
Springfield, VA 22150-3069
Phone
(703) 569-2822
Fax
(703) 569-2829
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Asam Zaiber, DDS
Title
Manager
Phone
(703) 569-2822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

6800 Backlick Rd Ste 101
Springfield, VA 22150-3069

Mailing address

6800 Backlick Rd Ste 101
Springfield, VA 22150-3069
Phone (703) 569-2822

Other identifiers 1

IdentifierTypeStateIssuer
1962811950MedicaidVA

Other names 1

  • SPRINGFIELD DENTAL CARE Doing business as

National Provider Directory

National Provider Directory

Locations

6800 Backlick Rd
Ste 101
Springfield, VA 22150
Phone (703) 569-2822

Practitioners & affiliated clinicians

Practitioners 3

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": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1811627169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 BACKLICK RD STE 101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503069",
            "telephone_number": "703-569-2822",
            "fax_number": "703-569-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 BACKLICK RD STE 101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503069",
            "telephone_number": "703-569-2822",
            "fax_number": "703-569-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANSAM ZAIBER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "ZAIBER",
        "authorized_official_first_name": "ASAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-569-2822",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962811950",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGFIELD DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.