Organization Active NPI

Vandana Sood, D.M.D., LLC

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1437340163
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411405 Issued in VA
Legal business name
VANDANA SOOD, D.M.D., LLC
Practice address
19420 Golf Vista PLZ
Suite 360
Leesburg, VA 20176-8265
Phone
(703) 723-9332
Fax
(703) 723-9336
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Dr. Vandana Sood, D.M.D.NPI 1942279591
Title
President
Phone
(703) 723-9332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401411405 VA Primary

Addresses

Primary practice location

19420 Golf Vista PLZ
Suite 360
Leesburg, VA 20176-8265

Mailing address

19420 Golf Vista PLZ
Suite 360
Leesburg, VA 20176-8265
Phone (703) 723-9332

Other identifiers 8

IdentifierTypeStateIssuer
115121OtherVAUNITED CONCORDIA
6707-1OtherVADENTAL BENEFIT PROVIDERS
VA200870OtherVAGE CONSUMER FINANCE
309174OtherVAANTHEM
92697OtherVADHA
DX178576OtherVADNOA
33838OtherVADOMINION DENTAL
8580OtherVANORTHEAST DENTAL PLAN

National Provider Directory

National Provider Directory

Locations

19420 Golf Vista Plz
Ste 360
Leesburg, VA 20176
Phone (703) 723-9332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1437340163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ",
            "address_2": "SUITE 360",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768265",
            "telephone_number": "703-723-9332",
            "fax_number": "703-723-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ",
            "address_2": "SUITE 360",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768265",
            "telephone_number": "703-723-9332",
            "fax_number": "703-723-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDANA SOOD, D.M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "SOOD",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-723-9332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "115121",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT PROVIDERS",
            "identifier": "6707-1",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GE CONSUMER FINANCE",
            "identifier": "VA200870",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "309174",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHA",
            "identifier": "92697",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DNOA",
            "identifier": "DX178576",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMINION DENTAL",
            "identifier": "33838",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST DENTAL PLAN",
            "identifier": "8580",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.