Active NPI
Alvin Christian Castasus Amante, DMD
- Pediatric Dentistry
- Gainesville, VA
National Provider Identifier
1831269588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401413425
- Practice address
- 7521 Virginia Oaks Dr
Suite 210
Gainesville, VA 20155-3831 - Phone
- (703) 468-0700
- Fax
- (703) 468-0701
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401413425 | VA | Primary |
Addresses
Primary practice location
7521 Virginia Oaks Dr
Suite 210
Gainesville, VA 20155-3831
Mailing address
7521 Virginia Oaks Dr
Suite 210
Gainesville, VA 20155-3831
Phone (703) 468-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413425 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1831269588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7521 VIRGINIA OAKS DR",
"address_2": "SUITE 210",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553831",
"telephone_number": "703-468-0700",
"fax_number": "703-468-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7521 VIRGINIA OAKS DR",
"address_2": "SUITE 210",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553831",
"telephone_number": "703-468-0700",
"fax_number": "703-468-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANTE",
"first_name": "ALVIN CHRISTIAN",
"middle_name": "CASTASUS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401413425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 10, 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.