Individual provider Active NPI

Pooya Aflatooni, DDS

  • General Practice Dentistry
  • Broadlands, VA
National Provider Identifier
1881075893
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414847 Issued in VA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0401414847VAMDGeneral 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.

Verify at the official NPI Registry.