Spa Creek Dental of VA, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SPA CREEK DENTAL OF VA, PLLC

Practice address

14540 John Marshall Highway Ste 103
Gainesville, VA 20155

Phone

(267) 691-2800

Fax

(267) 691-2830

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Amber Lloyd

Title

Accounts Receivable Specialist

Phone

(267) 691-2812

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Melissa Anna Restrepo, D.M.D

  • General Practice Dentistry
  • Gainesville, VA
  • NPI 1942467394
  NPD
• Sunny Sajjad, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Corpus Christi, TX
  • NPI 1255784492
  NPD

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1730544784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 JACKSONVILLE RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744861",
            "telephone_number": "877-772-3368",
            "fax_number": "267-691-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 JOHN MARSHALL HIGHWAY STE 103",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "267-691-2800",
            "fax_number": "267-691-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA CREEK DENTAL OF VA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SPECIALIST",
        "authorized_official_telephone_number": "267-691-2812"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Social Achievers
• Patricia T Solis, FNP
• Eun Ah Song, RPH
• Soto Training and Consulting, LLC
• Cole Sowers
• Mary A Speicher, DMD
• Ilham Spingher, DDS
• Mary Catherine Spooner, LCSW
• Stephanie H Spytek, M.D.
• Sras LLC

• Dentist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.