Individual provider Active NPI

Ana Paola Maldonado Sarmiento

  • Dentist
  • Winchester, VA
National Provider Identifier
1730925512
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401419609 Issued in VA
Practice address
1681 S Pleasant Valley Rd
Winchester, VA 22601-4484
Phone
(540) 678-7097
NPI assigned
Jul 2, 2024
Reactivated
Aug 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 0401419609 VA Primary

Addresses

Primary practice location

1681 S Pleasant Valley Rd
Winchester, VA 22601-4484

Mailing address

201 Shallow Creek Dr
Ranson, WV 25438-4038
Phone (240) 883-4596

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
0401419609VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mak PLLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

1681 S Pleasant Valley Rd
Winchester, VA 22601
Phone (540) 678-7097

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1730925512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SHALLOW CREEK DR",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254384038",
            "telephone_number": "240-883-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 S PLEASANT VALLEY RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014484",
            "telephone_number": "540-678-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO SARMIENTO",
        "first_name": "ANA",
        "middle_name": "PAOLA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "deactivation_date": "2025-07-10",
        "reactivation_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.