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

Last updated

May 9, 2022By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springfield Dental Group, PC

  dba Springfield Dental Group

  • 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

• Dentist in Springfield, VA
• Providers in Springfield, VA by specialty
• 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.