Shane R. Costa DDS, PC
Shane R. Costa DDS, PC is a healthcare organization registered as General Practice Dentistry in Great Falls, VA, holding Type 2 (organization) NPI 1740476993 since 2007. The authorized official on file is Shane1 Costa, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1740476993 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shane R. Costa DDS, PC |
| Practice address | 10135 COLVIN RUN RD, SUITE 230, Great Falls, VA, 22066 |
| Phone | 8046902042 |
| Enumeration date | 2007-09-21 |
| Last updated in NPPES | 2007-09-21 |
Authorized official
| Name | Shane1 Costa |
|---|---|
| Title | Owner |
| Phone | 8046902042 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 0401410911 | VA |
Copy-ready billing details
Provider: Shane R. Costa DDS, PC NPI: 1740476993 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 10135 COLVIN RUN RD, SUITE 230, Great Falls, VA, 22066
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871549261 | Randall Doerman | Individual | Internal Medicine Physician | Great Falls, VA |
Verify this record
Cross-check NPI 1740476993 against the authoritative CMS record: view Shane R. Costa DDS, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Shane R. Costa DDS, PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-21.