Individual provider Active NPI

Kevin James Salinas, DDS

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1356902720
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416542 Issued in VA
Practice address
4893 Prince William Pkwy Ste 101
Woodbridge, VA 22192-5404
Phone
(703) 494-2226
NPI assigned
Jun 25, 2019
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416542 VA Primary

Addresses

Primary practice location

4893 Prince William Pkwy Ste 101
Woodbridge, VA 22192-5404

Mailing address

4893 Prince William Pkwy Ste 101a
Woodbridge, VA 22192-5404
Phone (703) 494-2226

Other practice location 1

6422 Grovedale Dr Ste 101A
Alexandria, VA 22310-2534
Phone (703) 971-9737

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
0401416542VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
My Kingstowne Dental, PC Current Accepting new patients
Kevin James Salinas, DDS, PC General Practice CurrentSince Aug 2, 2020 Accepting new patients

Locations

6422 Grovedale Dr
Ste 101A
Franconia, VA 22310
Phone (703) 559-5786

4893 Prince William Pkwy
Ste 101
Woodbridge, VA 22192
Phone (703) 291-4394

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

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1356902720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4893 PRINCE WILLIAM PKWY STE 101A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925404",
            "telephone_number": "703-494-2226",
            "fax_number": "703-783-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 PRINCE WILLIAM PKWY STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925404",
            "telephone_number": "703-494-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6422 Grovedale Dr Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223102534",
            "country_code": "US",
            "telephone_number": "703-971-9737",
            "fax_number": "703-971-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.