Organization Active NPI

Sameer Kwatra DDS, PC

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1861683666
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410643 Issued in VA
Legal business name
SAMEER KWATRA DDS, PC
Practice address
2970 Prince William Pkwy
Woodbridge, VA 22192-4145
Phone
(703) 583-7720
Fax
(703) 583-7719
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. Sameer Kwatra, D.D.S.NPI 1023139466
Title
Dentist
Phone
(703) 583-7720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410643 VA Primary

Addresses

Primary practice location

2970 Prince William Pkwy
Woodbridge, VA 22192-4145

Mailing address

2970 Prince William Pkwy
Woodbridge, VA 22192-4145
Phone (703) 583-7720

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1861683666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 PRINCE WILLIAM PKWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924145",
            "telephone_number": "703-583-7720",
            "fax_number": "703-583-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 PRINCE WILLIAM PKWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924145",
            "telephone_number": "703-583-7720",
            "fax_number": "703-583-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMEER KWATRA DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "KWATRA",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-583-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.