Individual provider Active NPI

Taylor Ann Giurintano, D.D.S.

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1952778482
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415945 Issued in VA
Practice address
9675 Liberia Ave Ste 101
Manassas, VA 20110
Phone
(703) 520-7512
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10152 TN
General Practice Dentistry 1223G0001X 10152 TN
General Practice Dentistry 1223G0001X 0401415945 VA Primary

Addresses

Primary practice location

9675 Liberia Ave Ste 101
Manassas, VA 20110

Mailing address

9675 Liberia Ave Ste 101
Manassas, VA 20110-1742
Phone (703) 520-7512

Other practice location 1

318 Northcreek Blvd
suite 400
Goodlettsville, TN 37072-1934
Phone (615) 239-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401415945VAMDGeneral Practice Dentistry
10152TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rudolph Dean Lang, PLLC Dentist PastSince Sep 24, 2023 Accepting new patients
Northcreek Dental Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1952778482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 LIBERIA AVE STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201101742",
            "telephone_number": "703-520-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 LIBERIA AVE STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-520-7512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 Northcreek Blvd",
            "address_2": "suite 400",
            "address_purpose": "LOCATION",
            "city": "Goodlettsville",
            "state": "TN",
            "postal_code": "370721934",
            "country_code": "US",
            "telephone_number": "615-239-4000",
            "fax_number": "615-239-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIURINTANO",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10152",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10152",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 5, 2018; 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.