Individual provider Active NPI

Helina Hussain, DDS

  • Dentist
  • Sterling, VA
National Provider Identifier
1568058568
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401417265 Issued in VA
Practice address
46161 Westlake Dr Ste 310
Sterling, VA 20165-5871
Phone
(703) 444-4188
Fax
(703) 444-4309
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417265 VA Primary

Addresses

Primary practice location

46161 Westlake Dr Ste 310
Sterling, VA 20165-5871

Mailing address

47783 Tupelo CT
Sterling, VA 20165-4798
Phone (703) 973-4709

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@paldentalgroup.com Direct

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
0401417265VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
JB Dental Associates and TMD Sleep Center, PLLC CurrentSince Jul 17, 2021 Accepting new patients
Pal Dental Group, Inc. PastSince Dec 22, 2020 Accepting new patients

Locations

46161 Westlake Dr
Ste 310
Sterling, VA 20165
Phone (703) 444-4188

Organizations & group practices 2

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1568058568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47783 TUPELO CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201654798",
            "telephone_number": "703-973-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR STE 310",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-444-4188",
            "fax_number": "703-444-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "HELINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@paldentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pdf",
            "address_1": "46161 Westlake Dr Ste 310",
            "city": "Sterling",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201655871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 15, 2020; 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.