Simple Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SIMPLE DENTAL PLLC

Practice address

5005 Westone PLZ Ste C
Chantilly, VA 20151-4207

Phone

(703) 552-8700

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

Jessica YooNPI 1215451760

Title

Owner Dentist

Phone

(703) 552-8700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Yoo, DMD

  • General Practice Dentistry
  • Chantilly, VA
  • NPI 1215451760
  NPD Authorized official

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1245015999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 WESTONE PLZ STE C",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514207",
            "telephone_number": "703-552-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 WESTONE PLZ STE C",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514207",
            "telephone_number": "703-552-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "703-552-8700"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Sibblies, BSN, RN, IBCLC
• Samiyah Siddiqi, RD
• Youssef Sidki
• Andrea A Silva
• Cedilia Silva, FNP
• Jessica Simpson
• Sunita Singh
• Emma Sirotniak, RD
• Sizewise Rentals, LLC
• Giovante Derick Skinner

• Dentist in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.