Active NPI
Nadia Amtal Armentrout, D.D.S
- General Practice Dentistry
- Purcellville, VA
National Provider Identifier
1871794099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401411470
- 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, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160419001949 | VA | Order and Referring Only - Oral Surgery | 6709184013 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22337 | MA | MD | General Practice Dentistry |
| 0401411470 | VA | MD | General Practice Dentistry |
| 016-0002255 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alt V Dental WV PLLC | General Practice | Current | 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.
-
dba Dental Smiles at Purcellville Gateway
- Dental Clinic/Center
- Purcellville, VA
- NPI 1760833024
-
- General Practice Dentistry
- Charles Town, WV
- NPI 1699427419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.