Active NPI
Elham Safari, D.D.S.
- General Practice Dentistry
- Herndon, VA
National Provider Identifier
1013065291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401410994
- Practice address
- 555 Grove Street, Suite 108
Herndon, VA 20170 - Phone
- (703) 787-7778
- Fax
- (571) 203-1390
- NPI assigned
- Jan 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401410994 | VA | Primary |
Addresses
Primary practice location
555 Grove Street, Suite 108
Herndon, VA 20170
Mailing address
555 Grove Street, Suite 108
Herndon, VA 20170
Phone (703) 787-7778
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401410994 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elham Safari D.D.S., P.C. | General Practice | Past | Accepting new patients |
Networks
- TN PPO C-SNP
- KY PPO C-SNP
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.
-
- General Practice Dentistry
- Herndon, VA
- NPI 1972799922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1013065291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 GROVE STREET, SUITE 108",
"city": "HERNDON",
"state": "VA",
"postal_code": "20170",
"telephone_number": "703-787-7778",
"fax_number": "571-203-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 GROVE STREET, SUITE 108",
"city": "HERNDON",
"state": "VA",
"postal_code": "20170",
"telephone_number": "703-787-7778",
"fax_number": "571-203-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFARI",
"first_name": "ELHAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401410994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.