Active NPI
Pooya Aflatooni, DDS
- General Practice Dentistry
- Broadlands, VA
National Provider Identifier
1881075893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414847
- Practice address
- 43170 Southern Walk PLZ Ste 116
Broadlands, VA 20148-4464 - Phone
- (703) 984-9026
- NPI assigned
- Jun 16, 2015
- Last updated
- Feb 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401414847 | VA | Primary |
Addresses
Primary practice location
43170 Southern Walk PLZ Ste 116
Broadlands, VA 20148-4464
Mailing address
7978 Crescent Park Dr
Gainesville, VA 20155-1562
Phone (571) 620-6200
Other practice location 1
7978 Crescent Park Dr
Gainesville, VA 20155-1562
Phone (571) 620-6200
Other practice location 2
6060 Arlington Blvd # 200
Falls Church, VA 22044-2943
Phone (703) 237-0060
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 |
|---|---|---|---|
| 0401414847 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1881075893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7978 CRESCENT PARK DR",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201551562",
"telephone_number": "571-620-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43170 SOUTHERN WALK PLZ STE 116",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "201484464",
"telephone_number": "703-984-9026"
}
],
"practiceLocations": [
{
"address_1": "7978 Crescent Park Dr",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "VA",
"postal_code": "201551562",
"country_code": "US",
"telephone_number": "571-620-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6060 Arlington Blvd # 200",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220442943",
"country_code": "US",
"telephone_number": "703-237-0060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AFLATOONI",
"first_name": "POOYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401414847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broadlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.