Chandrika Sruthi Dokku

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416725 Issued in VA

Practice address

2321 Dulles Station Blvd Ste B
Herndon, VA 20171-6278

Phone

(703) 424-9555

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Neo Smiles PLLC

  • Dental Clinic/Center
  • Herndon, VA
  • NPI 1568276608
  NPD

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467948604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HIGH PARK LN APT 726",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104173",
            "telephone_number": "301-658-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 DULLES STATION BLVD STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716278",
            "telephone_number": "703-424-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104592967",
            "country_code": "US",
            "telephone_number": "718-860-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOKKU",
        "first_name": "CHANDRIKA SRUTHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.neosmilesdental.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2321 Dulles Station Blvd Ste B",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201716278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin E Dillaman, DPT
• Sonia Dilolli, DDS
• Sam T Dinh
• Muna Dirie
• Jennifer Dodge, D.C.
• Keren Elizabeth Dolan, DCN, MS, CNS, LDN
• Yeabsira Teketel Dole
• Harriet Rita Dolinsky, L.C.S.W.
• Robin L. Donald, DO
• Meghan Donnelly, LMT

• General Practice Dentistry in Herndon, VA
• Providers in Herndon, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.