Individual provider Active NPI

Emily A. Dasilva, D.D.S.

  • General Practice Dentistry
  • Springfield, VA
National Provider Identifier
1194915678
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412733 Issued in VA
Practice address
5803 Rolling Rd
Suite 211
Springfield, VA 22152-1047
Phone
(703) 912-3800
Fax
(703) 912-3816
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412733 VA Primary
General Practice Dentistry 1223G0001X 21887 MA
General Practice Dentistry 1223G0001X DEN02977 RI

Addresses

Primary practice location

5803 Rolling Rd
Suite 211
Springfield, VA 22152-1047

Mailing address

5803 Rolling Rd
Suite 211
Springfield, VA 22152-1047
Phone (703) 912-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150506001022 VA Order and Referring Only - DentistPractitioner - Dentist 3476872821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21887MAMDGeneral Practice Dentistry
DEN02977RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peter K Cocolis, DMD and Associates, PLLC General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1194915678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 ROLLING RD",
            "address_2": "SUITE 211",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521047",
            "telephone_number": "703-912-3800",
            "fax_number": "703-912-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 ROLLING RD",
            "address_2": "SUITE 211",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521047",
            "telephone_number": "703-912-3800",
            "fax_number": "703-912-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "EMILY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412733",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21887",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.