Individual provider Active NPI

Linda Brenda Wansi, D.D.S

  • Pediatric Dentistry
  • Purcellville, VA
National Provider Identifier
1235562901
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401413968 Issued in VA
Practice address
17333 Pickwick Dr Ste a&B
Purcellville, VA 20132-6173
Phone
(540) 441-7627
NPI assigned
Aug 16, 2013
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN2000155 DC
Pediatric Dentistry 1223P0221X 19085 MD
Pediatric Dentistry 1223P0221X 9486 NC
Pediatric Dentistry 1223P0221X 0401413968 VA Primary

Addresses

Primary practice location

17333 Pickwick Dr Ste a&B
Purcellville, VA 20132-6173

Mailing address

17333 Pickwick Dr Ste a&B
Purcellville, VA 20132-6173
Phone (404) 417-6275

Other identifiers 1

IdentifierTypeStateIssuer
1235562901MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150429000418 NC Order and Referring Only - DentistPractitioner - Dentist 9739408535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN2000155DCMDPediatric Dentist
0401413968VAMDPediatric Dentist
19085MDMDPhysical Therapist
9486NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindabwansi PLLC Pediatric Dentistry Current 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, 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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1235562901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 PICKWICK DR STE A&B",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326173",
            "telephone_number": "404-417-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17333 PICKWICK DR STE A&B",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326173",
            "telephone_number": "540-441-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANSI",
        "first_name": "LINDA BRENDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN2000155",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "19085",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "9486",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401413968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235562901",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.