Organization Active NPI

Anderson Dental Associates

  • Dentist
  • Falls Church, VA
National Provider Identifier
1962896050
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412572 Issued in VA
Legal business name
ANDERSON DENTAL ASSOCIATES
Practice address
3701 S. George Mason Dr.
Suite#C7N
Falls Church, VA 22041
Phone
(703) 998-8826
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Mrs. Wendy Tavara
Title
Office Manager
Phone
(703) 998-8826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401412572 VA Primary

Addresses

Primary practice location

3701 S. George Mason Dr.
Suite#C7N
Falls Church, VA 22041

Mailing address

3701 S George Mason Dr
Suite#C7N
Falls Church, VA 22041-3758
Phone (703) 998-8826

National Provider Directory

National Provider Directory

Locations

3701 S George Mason Dr
#7N
Falls Church, VA 22041
Phone (703) 998-8826

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1962896050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S GEORGE MASON DR",
            "address_2": "SUITE#C7N",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413758",
            "telephone_number": "703-998-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S. GEORGE MASON DR.",
            "address_2": "SUITE#C7N",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22041",
            "telephone_number": "703-998-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "TAVARA",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-998-8826",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.