Active NPI
Yelena Soules, DDS
- General Practice Dentistry
- Herndon, VA
National Provider Identifier
1750430724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401008086
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401008086 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Herndon, VA
- NPI 1821213984
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.