Vandana Sethi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416736 Issued in VA

Practice address

4103 Chain Bridge Rd Ste Ll100
Fairfax, VA 22030-4107

Phone

(703) 218-8142

Fax

(703) 218-8445

NPI assigned

Jul 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Practice roles

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.

• M & M Dental Care P.C.

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1366822827
  NPD (past)

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1255852083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 CHAIN BRIDGE RD STE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304107",
            "telephone_number": "703-218-8142",
            "fax_number": "703-218-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 CHAIN BRIDGE RD STE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304107",
            "telephone_number": "703-218-8142",
            "fax_number": "703-218-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "VANDANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-01",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelyn Serrao
• Serve Home Care, LLC
• Rebeka Sessou
• Set Sports Physical Therapy, LLC
• Dhruv Sethi, MD, MBA, MPH
• Shauna Marie Severo, RN, BSN
• Caroline Sexson
• Amanda Seymore, MOTR/L
• Mojgan Shaafi, DDS
• Dwana Rashad Shabazz, M.D.

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, 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 Nov 29, 2021; 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.