Individual provider Active NPI

Sarah Kennealy, DDS

  • Dentist
  • Alexandria, VA
National Provider Identifier
1821359456
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413595 Issued in VA
Practice address
1451 Belle Haven Rd Ste 310
Alexandria, VA 22307-1201
Phone
(703) 910-3182
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413595 VA Primary

Addresses

Primary practice location

1451 Belle Haven Rd Ste 310
Alexandria, VA 22307-1201

Mailing address

1451 Belle Haven Rd Ste 310
Alexandria, VA 22307-1201
Phone (703) 910-3182

Other practice location 1

9030 Three Chopt Rd
Suite A
Richmond, VA 23229-4641
Phone (804) 282-7011

Other practice location 2

6120 Brandon Ave Ste 317
Springfield, VA 22150-2504
Phone (703) 451-3303

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
0401413595VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
George a Oley III PLC Dentist Past Accepting new patients
Graceful Smiles LLC Dentist PastSince Dec 13, 2020 Accepting new patients
George a Oley III DDS PLC Dentist PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 3

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1821359456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD STE 310",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071201",
            "telephone_number": "703-910-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD STE 310",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071201",
            "telephone_number": "703-910-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9030 Three Chopt Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232294641",
            "country_code": "US",
            "telephone_number": "804-282-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Brandon Ave Ste 317",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221502504",
            "country_code": "US",
            "telephone_number": "703-451-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEALY",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.