Individual provider Active NPI

Sophie Le Oswald, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Warrenton, VA
National Provider Identifier
1730314402
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0438000348 Issued in VA
Practice address
225 Oak Springs Dr
Suite #102
Warrenton, VA 20186-2187
Phone
(540) 347-0274
NPI assigned
May 23, 2009
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0438000348 VA Primary

Addresses

Primary practice location

225 Oak Springs Dr
Suite #102
Warrenton, VA 20186-2187

Mailing address

225 Oak Springs Dr
Suite #102
Warrenton, VA 20186-2187
Phone (571) 723-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 24, 2018 through May 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0438000348VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Oral and Facial Surgery, LLC Past Accepting new patients
Northern Virginia Oral and Facial Surgery, LLC Past Accepting new patients
Warrenton Oral and Facial Surgery Past Accepting new patients
Northern Virginia Oral and Facial Surgery, LLC Past Accepting new patients
Northern Virginia Oral and Facial Surgery, LLC Past Accepting new patients
Northern Virginia Oral and Facial Surgery, LLC Past Accepting new patients
Northern Virginia Oral and Facial Surgery, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sophie.oswald.1@17026.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1730314402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OAK SPRINGS DR",
            "address_2": "SUITE #102",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862187",
            "telephone_number": "571-723-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OAK SPRINGS DR",
            "address_2": "SUITE #102",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862187",
            "telephone_number": "540-347-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "SOPHIE",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-23",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.