Reston Endodontics, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

RESTON ENDODONTICS, PLLC

Practice address

12359 Sunrise Valley Dr Ste 210a
Reston, VA 20191-3493

Phone

(703) 399-2333

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Scott Detar, DDS, MSDNPI 1073770608

Title

Owner/Endodontist

Phone

(703) 851-6885

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Scott Detar, D.D.S.

  • Endodontics
  • Manassas, VA
  • NPI 1073770608
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1992444970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14426 BECKETT GLEN CIR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512140",
            "telephone_number": "703-851-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR STE 210A",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913493",
            "telephone_number": "703-399-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "DETAR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "703-851-6885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reston Chiropractic Group LLC
• Reston Chiropractic, Inc.
• Reston Dental Care PC
• Reston Dental Group, PC
• Reston Ear Nose and Throat PC
• Reston Endoscopy Center
• Reston Express LLC
• Reston Eye Associates
• Reston Family & Cosmetic Dentistry
• Reston Family Dentist Group PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.