Individual provider Active NPI

Steve Yopa

  • General Practice Dentistry
  • Reston, VA
National Provider Identifier
1124550603
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415897 Issued in VA
Practice address
1760 Reston Pkwy Ste 415
Reston, VA 20190
Phone
(703) 956-9444
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401415897 VA Primary

Addresses

Primary practice location

1760 Reston Pkwy Ste 415
Reston, VA 20190

Mailing address

1775 Grand Concourse
6TH Floor
Bronx, NY 10453-8202
Phone (718) 901-8110

Other practice location 1

1801 Robert Fulton Dr Ste 100
Reston, VA 20191-4347
Phone (703) 495-3333

Other practice location 2

1775 Grand Concourse
6th Floor
Bronx, NY 10453-8202
Phone (718) 901-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017000109 NY Order and Referring Only - DentistPractitioner - Dentist 7416209689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401415897VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steve D. Yopa DDS PLLC Current Accepting new patients
Virgina Family and Cosmetic Dentistry Inc General Practice Past Accepting new patients
Dentlux Smile Aesthetics Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1124550603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE",
            "address_2": "6TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "718-901-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY STE 415",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-956-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Robert Fulton Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201914347",
            "country_code": "US",
            "telephone_number": "703-495-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Grand Concourse",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104538202",
            "country_code": "US",
            "telephone_number": "718-901-8110",
            "fax_number": "718-901-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOPA",
        "first_name": "STEVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.