Individual provider Active NPI

Sangeeta Kumar

  • Prosthodontics
  • Sterling, VA
National Provider Identifier
1497535272
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401418588 Issued in VA
Practice address
21631 Ridgetop Cir Ste 240
Sterling, VA 20166-4288
Phone
(703) 444-9900
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0401418588 VA Primary

Addresses

Primary practice location

21631 Ridgetop Cir Ste 240
Sterling, VA 20166-4288

Mailing address

2718 Pembsly Dr
Vienna, VA 22181-6157
Phone (202) 413-9319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401418588VAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgetop Dental of Sterling, PLLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

21631 Ridgetop Cir
Ste 240
Sterling, VA 20166
Phone (703) 444-9900

Organizations & group practices 1

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": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1497535272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 PEMBSLY DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221816157",
            "telephone_number": "202-413-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21631 RIDGETOP CIR STE 240",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201664288",
            "telephone_number": "703-444-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SANGEETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401418588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.