Elaine K. Sours, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005467 Issued in VA

Practice address

8719 Plantation LN
Manassas, VA 20110

Phone

(703) 369-5544

Fax

(703) 361-3680

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elaine K. Sours, D.D.S., P.C.

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1750868097
  NPD (past) Authorized official
• Dental House

  • Dentist
  • Manassas, VA
  • NPI 1811598428
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1962518696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8719 PLANTATION LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104506",
            "telephone_number": "703-369-5544",
            "fax_number": "703-361-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8719 PLANTATION LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-369-5544",
            "fax_number": "703-361-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOURS",
        "first_name": "ELAINE",
        "middle_name": "K.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seraphine A Soosaimanickam, M.D.
• Ginger A Sorensen, WHNP
• Soledad Soto Ferrufino, DNP, FNP-BC
• Glenda Yesenia Soto-Roca
• Sound Mind Healthcare Services LLC (Sound Mind Center)
• Tyenna Spencer-Sturdivvant
• Athaniel Patrick Spicer
• Spine Care of Manassas
• Jaeger Spratt
• Spring of Life Healthcare , LLC

• General Practice Dentistry in Manassas, VA
• Providers in Manassas, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.

Verify at the official NPI Registry.