Individual provider Active NPI

Monica Isabel Restrepo, DDS

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1396126827
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415447 Issued in VA
Practice address
163 Fort Evans Rd NE
Leesburg, VA 20176
Phone
(703) 443-2000
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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 0401415447 VA Primary

Addresses

Primary practice location

163 Fort Evans Rd NE
Leesburg, VA 20176

Mailing address

163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone (703) 463-8533

Other practice location 1

163 Fort Evans Rd NE
Leesburg, VA 20176
Phone (703) 443-2000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171023000811 VA Order and Referring Only - DentistPractitioner - Dentist 4880960640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monica R DDS PLLC General Practice CurrentSince Jun 9, 2024 Accepting new patients
Veronica M. Enriquez, DDS, Inc. General Practice Past Accepting new patients

Locations

11130 Fairfax Blvd
Ste 100
Fairfax, VA 22030
Phone (703) 865-5911

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1396126827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FORT EVANS RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764420",
            "telephone_number": "703-463-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 FORT EVANS RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-443-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Fort Evans Rd NE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "20176",
            "country_code": "US",
            "telephone_number": "703-443-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "MONICA",
        "middle_name": "ISABEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.