Vincas Sidrys, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417389 Issued in VA

Practice address

5000 Brambleton Ave
Roanoke, VA 24018-4642

Phone

(540) 769-6370

Fax

(540) 769-6373

NPI assigned

Jul 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Vincas V. Sidrys Professional name

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.

• Vincas V. Sidrys, D.M.D., PLLC

  • Dental Clinic/Center
  • Roanoke, VA
  • NPI 1265192751
  NPD Authorized official
• James D Reynolds DDS LTD

  • Dentist
  • Roanoke, VA
  • NPI 1760682603
  NPD (past)
• Aman Masoomi, DDS, PLLC

  • General Practice Dentistry
  • Durham, NC
  • NPI 1598584781
  NPD (past)
• Debora a. Bolton, DDS, PA

  • General Practice Dentistry
  • Durham, NC
  • NPI 1104007996
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1548612047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184642",
            "telephone_number": "540-769-6370",
            "fax_number": "540-769-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184642",
            "telephone_number": "540-769-6370",
            "fax_number": "540-769-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDRYS",
        "first_name": "VINCAS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-01-13",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030817",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10567",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCAS",
            "last_name": "SIDRYS",
            "middle_name": "V.",
            "credential": "D.M.D., PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Shupe, LPTA
• Ressie Louise Shupe, A.C.N.P.
• Sergey Shvygin, MD
• Bailie Sidhu, M.S. CCC-SLP
• Richard Joseph Sidor, PT
• Tanya L Sigmon, P.A.
• Stephen James Sikkema, LCSW, DCSW
• Anne Lynette Silber, LCSW
• Megan Silber, OTR/L
• Enrique Silberblatt, M.D.

• General Practice Dentistry in Roanoke, VA
• Providers in Roanoke, 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 Jan 13, 2022; 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.