Individual provider Active NPI

Yelena Soules, DDS

  • General Practice Dentistry
  • Herndon, VA
National Provider Identifier
1750430724
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008086 Issued in VA
Practice address
112 Elden St
Suite S
Herndon, VA 20170-4874
Phone
(703) 787-3585
Fax
(703) 787-9887
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 0401008086 VA Primary

Addresses

Primary practice location

112 Elden St
Suite S
Herndon, VA 20170-4874

Mailing address

112 Elden St
Suite S
Herndon, VA 20170-4874
Phone (703) 787-3585

Other names 1

  • Dr. Lana Soules Professional name

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
0401008086VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lana Soules D.D.S., Inc. General Practice Past 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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1750430724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST",
            "address_2": "SUITE S",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704874",
            "telephone_number": "703-787-3585",
            "fax_number": "703-787-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST",
            "address_2": "SUITE S",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704874",
            "telephone_number": "703-787-3585",
            "fax_number": "703-787-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULES",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "SOULES",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.