Individual provider Active NPI

Sharmila Shyamsundar, DDS

  • Dentist
  • Falls Church, VA
National Provider Identifier
1356656565
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413892 Issued in VA
Practice address
6231 Leesburg Pike Ste 304
Falls Church, VA 22044-2102
Phone
(703) 533-8200
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1000946 DC
Dentist 122300000X 0401413892 VA Primary

Addresses

Primary practice location

6231 Leesburg Pike Ste 304
Falls Church, VA 22044-2102

Mailing address

6231 Leesburg Pike Ste 304
Falls Church, VA 22044-2102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401413892VAMDDentist
DEN1000946DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pike Smiles PLLC General Practice CurrentSince Apr 23, 2023 Accepting new patients
Daniel Cave and Associates Dentist Past Accepting new patients

Locations

6231 Leesburg Pike
Ste 304
Falls Church, VA 22044
Phone (703) 533-8200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1356656565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE STE 304",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE STE 304",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-533-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYAMSUNDAR",
        "first_name": "SHARMILA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000946",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.