NPIMap

Organization Active NPI

Elegant Smiles PLLC

  • Dental Clinic/Center
  • Manassas, VA
National Provider Identifier
1881454643
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELEGANT SMILES PLLC
Practice address
9749 Buchanan Loop
Manassas, VA 20110-7856
Phone
(703) 333-3333
NPI assigned
Mar 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. Mohammad Kashif, DDSNPI 1750808440
Title
Owner
Phone
(703) 386-4001

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9749 Buchanan Loop
Manassas, VA 20110-7856

Mailing address

9749 Buchanan Loop
Manassas, VA 20110-7856
Phone (703) 996-4414

Other names 1

  • Cannon Branch Dental of Manassas Doing business as

National Provider Directory

National Provider Directory

Locations

9749 Buchanan Loop
Manassas, VA 20110
Phone (703) 333-3333

Practitioners & affiliated clinicians

Practitioners 2

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": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1881454643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 BUCHANAN LOOP",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201107856",
            "telephone_number": "703-996-4414",
            "fax_number": "703-659-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9749 BUCHANAN LOOP",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201107856",
            "telephone_number": "703-333-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "KASHIF",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-386-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Branch Dental of Manassas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.