Amparo Lizeth Pinzon Avellaneda, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401415378 Issued in VA

Practice address

4379 Ridgewood Center Dr
Suite 102
Woodbridge, VA 22192-8322

Phone

(703) 680-7950

NPI assigned

Jul 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sonria Dental Care PLLC

  dba Sonrisas Dentistry

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1417634627
  NPD Authorized official
• Greater Prince William Area Community Health Center Inc

  dba Lunera Health

  • Federally Qualified Health Center (FQHC)
  • Woodbridge, VA
  • NPI 1366591562
  NPD (past)

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1790125755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928322",
            "telephone_number": "703-680-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928322",
            "telephone_number": "703-680-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINZON AVELLANEDA",
        "first_name": "AMPARO",
        "middle_name": "LIZETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-04",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachi D Pilkenton, MASSAGE THERAPIST
• Beatriz M Pinachos, M.D.
• Pinnacle Health Services
• Pinnacle Medical Transport LLC
• Lisa Nicole Pinnell, CCC-SLP
• Tatiana Andrea Pinzon-Luciente
• Kirnetta Trineice Pittman, SLP
• Kristen Nicole Pizzoferrato, MS CCC-SLP
• Platinum Health Care Services
• Pleasures II Wellness,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.