Organization Active NPI

Inova Dental Clinic

  • Dental Clinic/Center
  • Sterling, VA
National Provider Identifier
1902654882
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
INOVA DENTAL CLINIC
Practice address
21495 Ridgetop Cir Ste 303
Sterling, VA 20166-6512
Phone
(703) 433-1400
Fax
(571) 434-0994
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Mahnaz JafariNPI 1649480682
Title
Dentist
Phone
(703) 554-2744

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

21495 Ridgetop Cir Ste 303
Sterling, VA 20166-6512

Mailing address

21495 Ridgetop Cir Ste 303
Sterling, VA 20166-6512
Phone (703) 433-1400

Other names 1

  • Inova Dental clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

21495 Ridgetop Cir
Ste 303
Sterling, VA 20166
Phone (703) 433-1400

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": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1902654882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21495 RIDGETOP CIR STE 303",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666512",
            "telephone_number": "703-433-1400",
            "fax_number": "571-434-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21495 RIDGETOP CIR STE 303",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666512",
            "telephone_number": "703-433-1400",
            "fax_number": "571-434-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "JAFARI",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-554-2744"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inova Dental clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.