Individual provider Active NPI

Svitlana V Savenkova, DDS

  • Dentist
  • Falls Church, VA
National Provider Identifier
1669738977
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413464 Issued in VA
Practice address
5827 Columbia Pike Ste 405
Northern Virginia Dental Clinic
Falls Church, VA 22041-2027
Phone
(703) 820-7170
Fax
(703) 820-7229
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413464 VA Primary

Addresses

Primary practice location

5827 Columbia Pike Ste 405
Northern Virginia Dental Clinic
Falls Church, VA 22041-2027

Mailing address

5827 Columbia Pike Ste 405
Northern Virginia Dental Clinic
Falls Church, VA 22041-2027
Phone (703) 820-7170

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
0401413464VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1669738977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 COLUMBIA PIKE STE 405",
            "address_2": "NORTHERN VIRGINIA DENTAL CLINIC",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412027",
            "telephone_number": "703-820-7170",
            "fax_number": "703-820-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5827 COLUMBIA PIKE STE 405",
            "address_2": "NORTHERN VIRGINIA DENTAL CLINIC",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412027",
            "telephone_number": "703-820-7170",
            "fax_number": "703-820-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVENKOVA",
        "first_name": "SVITLANA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.