Individual provider Active NPI

Melissa Anna Restrepo, D.M.D

  • General Practice Dentistry
  • Gainesville, VA
National Provider Identifier
1942467394
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412071 Issued in VA
Practice address
14540 John Marshall Hwy Ste 103
Gainesville, VA 20155-1693
Phone
(267) 691-2800
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 0401412071 VA Primary

Addresses

Primary practice location

14540 John Marshall Hwy Ste 103
Gainesville, VA 20155-1693

Mailing address

10337 Windsor View Dr
Potomac, MD 20854-4000
Phone (301) 974-1457

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
I20160209002680 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153625280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spa Creek Dental of VA, PLLC CurrentSince May 25, 2025 Accepting new patients
Spa Creek Podiatry of VA, LLC CurrentSince May 25, 2025 Accepting new patients
Warwick Dental Center, PLLC General Practice Past Accepting new patients

Locations

14540 John Marshall Hwy
Ste 103
Gainesville, VA 20155
Phone (267) 691-2800

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1942467394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10337 WINDSOR VIEW DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544000",
            "telephone_number": "301-974-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 JOHN MARSHALL HWY STE 103",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551693",
            "telephone_number": "267-691-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "MELISSA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.