Individual provider Active NPI

Sonia Dilolli, DDS

  • Dentist
  • Herndon, VA
National Provider Identifier
1659534691
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23836 Issued in TX
Practice address
102 Elden St Ste 15
Herndon, VA 20170-4827
Phone
(703) 478-9574
NPI assigned
Jul 9, 2008
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23836 TX Primary

Addresses

Primary practice location

102 Elden St Ste 15
Herndon, VA 20170-4827

Mailing address

102 Elden St Ste 15
Herndon, VA 20170-4827
Phone (034) 789-5747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624001239 VA Order and Referring Only - DentistPractitioner - Dentist 9032420559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23836TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1659534691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST STE 15",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704827",
            "telephone_number": "034-789-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST STE 15",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704827",
            "telephone_number": "703-478-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILOLLI",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.