Mira Dental at Tysons Corner PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MIRA DENTAL AT TYSONS CORNER PLLC

Practice address

8201 Greensboro Dr Ste 710
MC Lean, VA 22102-3818

Phone

(571) 633-9455

NPI assigned

Jun 19, 2020

Last updated

Jun 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nikhil Saha

Title

Medical Claim Specialist

Phone

(908) 533-4386

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1942826524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 GREENSBORO DR STE 710",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 GREENSBORO DR STE 710",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023818",
            "telephone_number": "571-633-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA DENTAL AT TYSONS CORNER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "SAHA",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_title_or_position": "MEDICAL CLAIM SPECIALIST",
        "authorized_official_telephone_number": "908-533-4386",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in McLean, VA
• Providers in McLean, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.