Individual provider Active NPI

Vandana Sood, D.M.D.

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1942279591
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411405 Issued in VA
Practice address
19420 Golf Vista PLZ
Suite 360
Leesburg, VA 20176-8265
Phone
(703) 723-9332
Fax
(703) 723-9336
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411405 VA Primary

Addresses

Primary practice location

19420 Golf Vista PLZ
Suite 360
Leesburg, VA 20176-8265

Mailing address

19420 Golf Vista PLZ
Suite 360
Leesburg, VA 20176-8265
Phone (703) 723-9332

Other identifiers 9

IdentifierTypeStateIssuer
VA200870OtherVAGE CONSUMER FINANCE
205256039-001OtherVACAREFIRST BC/BS
6707-1OtherVADENTAL BENEFIT PROVIDERS
115121OtherVAUNITED CONCORDIA
309174OtherVAANTHEM
33838OtherVADOMINION DENTAL
91457OtherVADHA
8580OtherVANORTHEAST DENTAL PLAN
DX178576OtherVADNOA

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
0401411405VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vandana Sood, D.M.D., LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1942279591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ",
            "address_2": "SUITE 360",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768265",
            "telephone_number": "703-723-9332",
            "fax_number": "703-723-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ",
            "address_2": "SUITE 360",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768265",
            "telephone_number": "703-723-9332",
            "fax_number": "703-723-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "VANDANA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GE CONSUMER FINANCE",
            "identifier": "VA200870",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "205256039-001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT PROVIDERS",
            "identifier": "6707-1",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "115121",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "309174",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMINION DENTAL",
            "identifier": "33838",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHA",
            "identifier": "91457",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST DENTAL PLAN",
            "identifier": "8580",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DNOA",
            "identifier": "DX178576",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.