Active NPI
Shehla Yousuf
- General Practice Dentistry
- Falls Church, VA
National Provider Identifier
1053006387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401419113
- Practice address
- 3400 Payne St
Falls Church, VA 22041-2249 - Phone
- (703) 578-0000
- NPI assigned
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401419113 | VA | Primary |
Addresses
Primary practice location
3400 Payne St
Falls Church, VA 22041-2249
Mailing address
60 I St SW Apt 202
Washington, DC 20024-4299
Phone (731) 334-0927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419113 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1053006387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 I ST SW APT 202",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200244299",
"telephone_number": "731-334-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 PAYNE ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220412249",
"telephone_number": "703-578-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSUF",
"first_name": "SHEHLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401419113",
"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 Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.