Individual provider Active NPI

Nadia Amtal Armentrout, D.D.S

  • General Practice Dentistry
  • Purcellville, VA
National Provider Identifier
1871794099
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411470 Issued in VA
Practice address
100 Purcellville Gateway Dr Ste D
Dental Smiles Purcellville
Purcellville, VA 20132-3487
Phone
(540) 338-3330
NPI assigned
May 29, 2007
Last updated
Oct 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411470 VA Primary
General Practice Dentistry 1223G0001X 016-0002255 VT
General Practice Dentistry 1223G0001X 22337 MA

Addresses

Primary practice location

100 Purcellville Gateway Dr Ste D
Dental Smiles Purcellville
Purcellville, VA 20132-3487

Mailing address

41909 Gallberry Ter
Aldie, VA 20105-5664
Phone (413) 559-9767

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160419001949 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709184013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22337MAMDGeneral Practice Dentistry
0401411470VAMDGeneral Practice Dentistry
016-0002255VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alt V Dental WV PLLC General Practice CurrentSince Feb 1, 2022 Accepting new patients
DRS. Church Salas and Leipzig LLC Current Accepting new patients

Locations

100 Purcellville Gateway Dr
Ste D
Purcellville, VA 20132
Phone (540) 338-3330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1871794099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41909 GALLBERRY TER",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055664",
            "telephone_number": "413-559-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PURCELLVILLE GATEWAY DR STE D",
            "address_2": "DENTAL SMILES PURCELLVILLE",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323487",
            "telephone_number": "540-338-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTROUT",
        "first_name": "NADIA",
        "middle_name": "AMTAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411470",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0002255",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.