Organization Active NPI

Donti Dental, PLLC

  • Dentist
  • Ashburn, VA
National Provider Identifier
1962827782
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412622 Issued in VA
Legal business name
DONTI DENTAL, PLLC
Practice address
22621 Amendola Ter
Suite 110
Ashburn, VA 20148-7528
Phone
(703) 723-0400
Fax
(703) 723-0403
NPI assigned
Mar 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Ruth Kathleen Duchatellier-Cange, DDSNPI 1437308590
Title
Owner/Dentist
Phone
(703) 723-0400

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401412622 VA Primary

Addresses

Primary practice location

22621 Amendola Ter
Suite 110
Ashburn, VA 20148-7528

Mailing address

22621 Amendola Ter
Suite 110
Ashburn, VA 20148-7528
Phone (703) 723-0400

National Provider Directory

National Provider Directory

Locations

22621 Amendola Ter
Ste 110
Ashburn, VA 20148
Phone (703) 723-0400

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": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1962827782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22621 AMENDOLA TER",
            "address_2": "SUITE 110",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201487528",
            "telephone_number": "703-723-0400",
            "fax_number": "703-723-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22621 AMENDOLA TER",
            "address_2": "SUITE 110",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201487528",
            "telephone_number": "703-723-0400",
            "fax_number": "703-723-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONTI DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "DUCHATELLIER-CANGE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "703-723-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.