Archana Srinivasan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401412680 Issued in VA

Practice address

4319 Dale Blvd
Woodbridge, VA 22193-2401

Phone

(703) 897-8554

NPI assigned

Dec 14, 2009

Sex

Female

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

Enrolled in VA

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

Locations

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.

• Archana Srinivasan DDS PLLC

  • Dental Clinic/Center
  • Reston, VA
  • NPI 1558128850
  NPD Authorized official
• Hanna Hanania DDS,PC

  • Dentist
  • Woodbridge, VA
  • NPI 1699153619
  NPD (past)

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1366771792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 UPPER LAKE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913619",
            "telephone_number": "716-507-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932401",
            "telephone_number": "703-897-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11130 Sunrise Valley Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201915474",
            "country_code": "US",
            "telephone_number": "571-446-4060",
            "fax_number": "571-446-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "ARCHANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412680",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Marie Spoth, OTD, OTR/L
• Springfield Comfort Care, LLC
• Springs of Love Homecare LLC
• Alicia Nicole Spruill
• Arthur Daniel Square Jr., LPC
• SSK Healthcare, LLC
• Stafford Healthcare Group
• Joseph Edward Stahl, MD
• Stalwart Home Health LLC
• Stand With No Apology; Mental Health Therapy & Advocacy, PLLC

• Dentist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.