Reston Sunrise Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401410411 Issued in VA

Legal business name

RESTON SUNRISE DENTISTRY, PC

Practice address

12359 Sunrise Valley Dr Ste 330
Reston, VA 20191-3463

Phone

(703) 860-4149

NPI assigned

Sep 29, 2007

Last updated

Sep 29, 2007By 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. Hanah Hanh Pham, D.D.S.NPI 1609987452

Title

President

Phone

(703) 860-4149

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hanah Hanh Pham, DDS

  • General Practice Dentistry
  • Reston, VA
  • NPI 1609987452
  NPD (past) Authorized official

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191024000000",
    "number": "1972790376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR STE 330",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913463",
            "telephone_number": "703-860-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR STE 330",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913463",
            "telephone_number": "703-860-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON SUNRISE DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-29",
        "last_updated": "2007-09-29",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HANAH",
        "authorized_official_middle_name": "HANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-860-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reston Orthodontic Associates, PLLC
• Reston Pathology Associates, P.L.L.C.
• Reston Pediatrics Associates,LTD
• Reston Psychological Center, P.C.
• Reston Radiology Consultants, PC
• Reston Surgery Center, LP
• Reston Women's OB-GYN Care, PC
• Restorative Solutions Therapy, LLC
• Restorative Therapeutic Services
• Revive and Thrive Counseling, PLLC

• Dentist in Reston, VA
• Providers in Reston, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2007; 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.