1. Home
  2. Directory
  3. Virginia
  4. Reston
  5. Dentist
  6. NPI Profile

DR. SHANE RYAN COSTA D.D.S
NPI 1407889306
Dentist - General Practice in Reston, VA

Active since July 07, 2006
1950 ROLAND CLARKE PL, SUITE 450, RESTON, VA 20191(703) 391-2600(703) 391-2097 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shane Ryan Costa D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANE RYAN COSTA D.D.S (NPI 1407889306) is an individual general practice provider in Reston, Virginia, licensed in Virginia (0401410911) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1407889306
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE RYAN COSTACredential: D.D.S
Location Address1950 ROLAND CLARKE PL, SUITE 450Reston, VA 20191-1414
Mailing Address1626 Apricot CtReston, VA 20190-4404 · (703) 956-9097 · Fax (703) 391-2097
Phone(703) 391-2600
Fax(703) 391-2097
Sole ProprietorYes
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407889306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401410911
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1950 ROLAND CLARKE PL, Reston, VA 20191
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WATT AND CLARK L.C.
Dentist (General Practice)
1950 ROLAND CLARKE PL, SUITE # 420
RESTON, VA 20191
Fairfax County (703) 391-2600
DR. RICHARD TORRENCE JONES DDS
Dentist
1950 ROLAND CLARKE PL
RESTON, VA 20191
Fairfax County (703) 391-2600
DR. JEFFRY STEPHEN CLARK D.D.S.
Dentist
1950 ROLAND CLARKE PL, 420
RESTON, VA 20191
Fairfax County (703) 391-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Costa's NPI number?

The NPI number for Shane Costa is 1407889306. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Shane Costa located?

Shane Costa practices at 1950 Roland Clarke Pl Suite 450, Reston, VA 20191. The listed phone number is (703) 391-2600.

What is Shane Costa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shane Costa accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Shane Costa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Costa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.