Kapil Kotadia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401417880 Issued in VA

Practice address

8056 Rolling Rd
Springfield, VA 22153-2928

Phone

(571) 295-5683

NPI assigned

Apr 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Springfield Dental Group, PC

  • Dentist
  • Springfield, VA
  • NPI 1053823336
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1346829322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43302 HEATHER LEIGH CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473157",
            "telephone_number": "703-727-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8056 ROLLING RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532928",
            "telephone_number": "571-295-5683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Chew St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023434",
            "country_code": "US",
            "telephone_number": "484-526-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTADIA",
        "first_name": "KAPIL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meihannah Y Kolb, DPT, PT
• Johnson Komolafe, NP
• Lauren Koontz, LCSW
• Kora Analysis, LLC
• Maria Korossy, SLP
• Mai Koussa, DDS
• Shravya Kovela, DPT
• Kraidy & Alkaffaf, LLC
• Abdulkareem I Kraidy, MD
• Garry Thomas Krakos, DC

• All providers in Springfield, VA
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.