Active NPI
Simona Naik, DMD
- Dentist
- Herndon, VA
National Provider Identifier
1659942365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401417485
- Practice address
- 3065 Centreville Rd Unit a
Herndon, VA 20171-3717 - Phone
- (703) 437-0333
- NPI assigned
- Jul 3, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 0401417485 | VA | Primary |
Addresses
Primary practice location
3065 Centreville Rd Unit a
Herndon, VA 20171-3717
Mailing address
502 Sunset View Ter SE Unit 304
Leesburg, VA 20175-6174
Phone (781) 627-6048
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401417485 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skinner Ossakow & Associates | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Herndon, VA
- NPI 1669605754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625270400000",
"number": "1659942365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 SUNSET VIEW TER SE UNIT 304",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201756174",
"telephone_number": "781-627-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 CENTREVILLE RD UNIT A",
"city": "HERNDON",
"state": "VA",
"postal_code": "201713717",
"telephone_number": "703-437-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIK",
"first_name": "SIMONA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-03",
"last_updated": "2021-07-03",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.