Individual provider Active NPI

Ann Krystyna Nardozzi, DMD

  • Pediatric Dentistry
  • Leesburg, VA
National Provider Identifier
1841671237
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401418151 Issued in VA
Practice address
1503 Dodona Ter Ste 200
Leesburg, VA 20175-4718
Phone
(703) 771-0007
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401418151 VA Primary

Addresses

Primary practice location

1503 Dodona Ter Ste 200
Leesburg, VA 20175-4718

Mailing address

9913 Rosewood Hill Cir
Vienna, VA 22182-1487

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

LicenseStateTypeSpecialty
0401418151VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve J Lan DDS PC Pediatric Dentistry CurrentSince Jan 29, 2023 Accepting new patients
Steve J Lan DDS PC Pediatric Dentistry CurrentSince Jan 29, 2023 Accepting new patients
S. J. Lan DDS PLLC Pediatric Dentistry Past Accepting new patients

Locations

1503 Dodona Ter
Ste 200
Leesburg, VA 20175
Phone (703) 771-0007

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1841671237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 ROSEWOOD HILL CIR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 DODONA TER STE 200",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754718",
            "telephone_number": "703-771-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDOZZI",
        "first_name": "ANN",
        "middle_name": "KRYSTYNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401418151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.