Individual provider Active NPI

Priya Vasa Ludington, D.M.D

  • General Practice Dentistry
  • South Riding, VA
National Provider Identifier
1366825457
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401418284 Issued in VA
Practice address
25055 Riding PLZ Ste 250
South Riding, VA 20152-5921
Phone
(703) 940-0036
NPI assigned
Jul 7, 2015
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 0401418284 VA Primary

Addresses

Primary practice location

25055 Riding PLZ Ste 250
South Riding, VA 20152-5921

Mailing address

25055 Riding PLZ Ste 250
South Riding, VA 20152-5921
Phone (703) 940-0036

Other practice location 1

1515 Wilson Blvd Ste 103
Arlington, VA 22209-2402
Phone (703) 528-3336

Other names 1

  • Dr. Priya Vasa Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401418284VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Aug 11, 2019 Accepting new patients
Hardwick Dental Group P.C. General Practice Past Accepting new patients
Northeast Kingdom Dental Group PLLC Past Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

Organizations & group practices 3

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1366825457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ STE 250",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201525921",
            "telephone_number": "703-940-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ STE 250",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201525921",
            "telephone_number": "703-940-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Wilson Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222092402",
            "country_code": "US",
            "telephone_number": "703-528-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDINGTON",
        "first_name": "PRIYA",
        "middle_name": "VASA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYA",
            "last_name": "VASA",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Riding, VA

Sources for this page

Verify at the official NPI Registry.