NPIMap

Organization Active NPI

Iris Dental Care

  • Dentist
  • Vienna, VA
National Provider Identifier
1942654199
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008611 Issued in VA
Legal business name
IRIS DENTAL CARE
Practice address
305 Maple Ave W
Suite E.
Vienna, VA 22180-4306
Phone
(703) 865-8455
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Sawsan Abousy
Title
Owner
Phone
(703) 865-8457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401008611 VA Primary

Addresses

Primary practice location

305 Maple Ave W
Suite E.
Vienna, VA 22180-4306

Mailing address

305 Maple Ave W
Suite E.
Vienna, VA 22180-4306

National Provider Directory

National Provider Directory

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1942654199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAPLE AVE W",
            "address_2": "SUITE E.",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAPLE AVE W",
            "address_2": "SUITE E.",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804306",
            "telephone_number": "703-865-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "ABOUSY",
        "authorized_official_first_name": "SAWSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-865-8457",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.