Active NPI
Sydney Winn, DDS
- General Practice Dentistry
- Falls Church, VA
National Provider Identifier
1215778600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401418956
- Practice address
- 6105A Arlington Blvd
Falls Church, VA 22044-2949 - Phone
- (703) 828-6460
- NPI assigned
- Jun 1, 2024
- Last updated
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 0401418956 | VA | Primary |
Addresses
Primary practice location
6105A Arlington Blvd
Falls Church, VA 22044-2949
Mailing address
6105A Arlington Blvd
Falls Church, VA 22044-2949
Phone (703) 828-6460
Other practice location 1
12328 Towncenter Plz
Sterling, VA 20164-7045
Phone (703) 433-2436
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 |
|---|---|---|---|
| 0401418956 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1215778600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6105A ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442949",
"telephone_number": "703-828-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6105A ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442949",
"telephone_number": "703-828-6460"
}
],
"practiceLocations": [
{
"address_1": "12328 Towncenter Plz",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "VA",
"postal_code": "201647045",
"country_code": "US",
"telephone_number": "703-433-2436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINN",
"first_name": "SYDNEY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-01",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401418956",
"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 Jul 17, 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.