Individual provider Active NPI

Ritika Kailey, DMD

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1104484088
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401419710 Issued in VA
Practice address
8441 Sudley Rd
Manassas, VA 20109-3539
Phone
(571) 360-6032
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN4719 ME
General Practice Dentistry 1223G0001X 0401419710 VA Primary

Addresses

Primary practice location

8441 Sudley Rd
Manassas, VA 20109-3539

Mailing address

140 Shawmut Ave Unit 1B
Boston, MA 02118-2297
Phone (317) 847-2575

Other practice location 1

791 Turner St
Auburn, ME 04210-6314
Phone (207) 558-0085

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

LicenseStateTypeSpecialty
DEN4719MEMDGeneral Practice Dentistry
0401419710VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ritika Kailey, DMD, PLLC General Practice CurrentSince Nov 18, 2025 Accepting new patients

Locations

8441 Sudley Rd
Manassas, VA 20109
Phone (571) 360-6032

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1104484088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SHAWMUT AVE UNIT 1B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182297",
            "telephone_number": "317-847-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093539",
            "telephone_number": "571-360-6032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Turner St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042106314",
            "country_code": "US",
            "telephone_number": "207-558-0085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAILEY",
        "first_name": "RITIKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4719",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.