Individual provider Active NPI

Sunitha Palle, D.D.S.

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1740356179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411290 Issued in VA
Practice address
5812 Mapledale PLZ
Woodbridge, VA 22193-4535
Phone
(703) 580-9900
Fax
(703) 580-0358
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411290 VA Primary

Addresses

Primary practice location

5812 Mapledale PLZ
Woodbridge, VA 22193-4535

Mailing address

5812 Mapledale PLZ
Woodbridge, VA 22193-4535
Phone (703) 580-9900

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
0401411290VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mapledale Family Dentistry, P.C. PastSince Nov 21, 2021 Accepting new patients

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740356179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934535",
            "telephone_number": "703-580-9900",
            "fax_number": "703-580-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934535",
            "telephone_number": "703-580-9900",
            "fax_number": "703-580-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLE",
        "first_name": "SUNITHA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.