Organization Active NPI

Signature Smiles Esthetic & Implant Dentistry PLLC

  • General Practice Dentistry
  • Sterling, VA
National Provider Identifier
1679416861
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SIGNATURE SMILES ESTHETIC & IMPLANT DENTISTRY PLLC
Practice address
46090 Lake Center PLZ Ste 105
Sterling, VA 20165-5877
Phone
(202) 378-0062
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Dr. Leela Devi Sivaraj, DMDNPI 1649001447
Title
Owner / Dentist
Phone
(202) 378-0062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

46090 Lake Center PLZ Ste 105
Sterling, VA 20165-5877

Mailing address

419 Nikki Ter SE
Leesburg, VA 20175-8961
Phone (202) 378-0062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1679416861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 NIKKI TER SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758961",
            "telephone_number": "202-378-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ STE 105",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655877",
            "telephone_number": "202-378-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES ESTHETIC & IMPLANT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "SIVARAJ",
        "authorized_official_first_name": "LEELA DEVI",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "202-378-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 13, 2026; 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.