HEIDI OSTRENG VATANKA (NPI# 1043585995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043585995 |
| Entity Type | Individual |
| Full Name | HEIDI OSTRENG VATANKA |
| Credential | DDS |
| Practice Address |
8505 Arlington Blvd Ste 370 Fairfax VA 22031-4621 |
| Mailing Address |
2821 Mosby St Alexandria VA 22305-1828 |
| Practice Telephone | 7038491415 |
| Mailing Telephone | 5715270653 |
| Enumeration Date | 2012-03-11 |
| Last Update Date | 2012-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401413470 | VA | Dental Providers |
| Street Address |
8505 ARLINGTON BLVD STE 370 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459404 | F. Joseph Hallal | Internal Medicine | 8505 Arlington Blvd, Suite 200, Fairfax, VA 22031-4621 | 2005-07-06 |
| 1902363542 | Safae Chouraichi | Pharmacist | 8505 Arlington Blvd, Fairfax, VA 22031-4621 | 2019-03-01 |
| 1437602323 | Susan Fazilat | Nurse Practitioner | 8505 Arlington Blvd, Suite 330, Fairfax, VA 22031-4621 | 2016-07-27 |
| 1992168850 | Jessica Rose Joyce | Physician Assistant | 8505 Arlington Blvd, Suite 210, Fairfax, VA 22031 | 2016-03-29 |
| 1699130286 | Katelin Jackfert Emory | Nurse Practitioner | 8505 Arlington Blvd, Fairfax, VA 22031-4621 | 2015-12-23 |
| 1518345735 | Quest Diagnostics Incorporated Md | Clinical Medical Laboratory | 8505 Arlington Blvd, Suite 140, Fairfax, VA 22031-4621 | 2015-05-07 |
| 1518383322 | Jessica Lee Ackerman | Physician Assistant | 8505 Arlington Blvd, Suite 210, Fairfax, VA 22031-4621 | 2014-03-17 |
| 1982949970 | Morgan Doreen Scott | Physician Assistant | 8505 Arlington Blvd, Suite 210, Fairfax, VA 22031-4621 | 2012-12-03 |
| 1518210533 | Meredith Haase | Nurse Practitioner | 8505 Arlington Blvd, 320, Fairfax, VA 22031-4630 | 2012-10-16 |
| 1306105226 | Mary E Palm | Nurse Practitioner | 8505 Arlington Blvd, Suite 450, Fairfax, VA 22031-4621 | 2012-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700234689 | Victoria Maria Onesty | Dentist | 3700 Joseph Siewick Dr Ste 104, Fairfax, VA 22033-1737 | 2016-06-01 |
| 1114158748 | Jenny Y Ha | Dentist | 9901 Fairfax Blvd, Fairfax, VA 22030-1740 | 2009-07-30 |
| 1982875316 | John Han D.d.s., P.C. | Dentist | 9901 Fairfax Blvd., Fairfax, VA 22030-3058 | 2008-03-13 |
| 1487834727 | Girish Banaji, D.d.s., P.C. | Dentist | 8505 Arlington Blvd Ste 370, Fairfax, VA 22031-4636 | 2007-11-03 |
| 1780781351 | John Han | Dentist | 10614 Warwick Ave, Suite B, Fairfax, VA 22030-3058 | 2006-09-17 |
| 1073887741 | Saman Madani Dmd & Shadi Shareghi Dds PC | Dentist | 3930 Pender Dr, Suite #250, Fairfax, VA 22030-0985 | 2012-02-28 |
| 1144523218 | Shohreh Sharif | Dentist | 3700 Joseph Siewick Dr, Suite 104, Fairfax, VA 22033-1744 | 2010-12-13 |
| 1114229267 | Rubina Ahmad | Dentist | 3700 Joseph Siewick Drive, Suite 104, Fairfax, VA 22033-1737 | 2010-11-23 |
| 1821308115 | Faranak Ghalehbaghi | Dentist | 10875 Main St Ste 105, Fairfax, VA 22030-4732 | 2010-10-20 |
| 1215091541 | Shohreh Sharif Dds PC | Dentist | 3700 Joseph Siewick Drive, Fairfax, VA 22033 | 2006-12-21 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.