Hafsa Ijaz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417720 Issued in VA

Practice address

3400 Payne St Ste 101
Falls Church, VA 22041-2313

Phone

(703) 763-5697

NPI assigned

Nov 2, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1013672427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22678 FLOWING SPRING SQ",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201484891",
            "telephone_number": "571-623-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PAYNE ST STE 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412313",
            "telephone_number": "703-763-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAZ",
        "first_name": "HAFSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seida Ibrahim
• Iconnect Counseling LLC
• Ogechukwu Igbo, PMHNP
• Andrea N Ihnat
• Mehrdad Ijadi, D.M.D
• Leonard Ilkhanoff, MD
• Saira Imaad, DDS
• Imani Holistic Counseling LLC
• Impact Behavior Centers LLC
• Imperial Home Healthcare LLC

• General Practice Dentistry in Falls Church, VA
• Providers in Falls Church, 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 Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.