Active NPI
Vladimir Soyfer, DMD, PHD, JD.
- Dentist
- Fairfax, VA
National Provider Identifier
1508048497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401410407
- Practice address
- 3930 Pender Dr
Suite 150
Fairfax, VA 22030-6028 - Phone
- (703) 391-9080
- NPI assigned
- Dec 3, 2007
- Last updated
- Dec 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401410407 | VA | Primary |
Addresses
Primary practice location
3930 Pender Dr
Suite 150
Fairfax, VA 22030-6028
Mailing address
3930 Pender Dr
Fairfax, VA 22030-0985
Phone (703) 359-9080
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
- Credentials
- Juris Doctor, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401410407 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller DDS of Alexandria, PC | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Fairfax, VA
- NPI 1144483199
-
- Dental Clinic/Center
- Fairfax, VA
- NPI 1285891911
-
dba Mount Vernon Dental Smiles
- Dental Clinic/Center
- Alexandria, VA
- NPI 1487371589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419552000000",
"number": "1508048497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 PENDER DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300985",
"telephone_number": "703-359-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 PENDER DR",
"address_2": "SUITE 150",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306028",
"telephone_number": "703-391-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOYFER",
"first_name": "VLADIMIR",
"name_prefix": "Dr.",
"credential": "DMD, PHD, JD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-03",
"last_updated": "2014-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401410407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.