Active NPI
Impact Dental Care, PLLC
- Dentist
- Lorton, VA
National Provider Identifier
1851960884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- IMPACT DENTAL CARE, PLLC
- Practice address
- 9439 Lorton Market St
Lorton, VA 22079-1963 - Phone
- (703) 952-6600
- Fax
- (703) 952-6364
- NPI assigned
- Jun 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harpreet Kaur
- Title
- Manager
- Phone
- (703) 952-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
9439 Lorton Market St
Lorton, VA 22079-1963
Mailing address
9439 Lorton Market St
Lorton, VA 22079-1963
National Provider Directory
National Provider DirectoryLocations
9439 Lorton Market St
Lorton, VA 22079
Phone (703) 372-2728
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lorton, VA
- NPI 1831337799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1851960884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9439 LORTON MARKET ST",
"city": "LORTON",
"state": "VA",
"postal_code": "220791963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9439 LORTON MARKET ST",
"city": "LORTON",
"state": "VA",
"postal_code": "220791963",
"telephone_number": "703-952-6600",
"fax_number": "703-952-6364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT DENTAL CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "KAUR",
"authorized_official_first_name": "HARPREET",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "703-952-6600"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.