NPIMap

Organization Active NPI

Trust Orthodent PLLC

Doing business as Signature Orthodontics and Pediatric Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbridge, VA
National Provider Identifier
1881360568
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TRUST ORTHODENT PLLC
Doing business as
Signature Orthodontics and Pediatric Dentistry
Practice address
2701 Neabsco Common PL Ste 134
Woodbridge, VA 22191-4189
Phone
(571) 260-6100
NPI assigned
Aug 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Authorized official

Name
Dr. Ehab BennasirNPI 1346655362
Title
Member/Owner
Phone
(571) 260-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2701 Neabsco Common PL Ste 134
Woodbridge, VA 22191-4189

Mailing address

2701 Neabsco Common PL Ste 134
Woodbridge, VA 22191-4189

Other names 1

  • Signature Orthodontics and Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2701 Neabsco Common Pl
Ste 134
Woodbridge, VA 22191
Phone (571) 260-6100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629504000000",
    "number": "1881360568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NEABSCO COMMON PL STE 134",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NEABSCO COMMON PL STE 134",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914189",
            "telephone_number": "571-260-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUST ORTHODENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "BENNASIR",
        "authorized_official_first_name": "EHAB",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "571-260-6100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Orthodontics and Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 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.

Verify at the official NPI Registry.