William A Santo Domingo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416331 Issued in VA

Practice address

2915 Hunter Mill Rd Ste 9&10
Oakton, VA 22124-1716

Phone

(703) 682-8575

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. William A Santo Domingo Rosa Other name

Medicare fee-for-service enrollment

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1184847352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 BELLE VIEW BLVD # 3136",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 HUNTER MILL RD STE 9&10",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241716",
            "telephone_number": "703-682-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTO DOMINGO",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "SANTO DOMINGO ROSA",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Nichole Ross, DPT, PT
• Thomas J Ryan, MD
• Christina Samra, DDS
• Mary Frances Sandiford, LCSW, ACSW
• Stacey Sandler
• Rebecca B Sawyer, M.D.
• Craig M Scimeca, D.D.S.
• Karen Schweizer Scoggins, M.ED., CCC-SLP
• Serenity Through Enrichment Psychological Services, LLC
• Nikki Serrano, P.T.

• General Practice Dentistry in Oakton, VA
• Providers in Oakton, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.