Individual provider Active NPI

Arousha Jahangiri, D.D.S.

  • Dentist
  • Washington, DC
National Provider Identifier
1023216496
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411878 Issued in VA
Practice address
1145 19TH St NW
Suite 512
Washington, DC 20036-3701
Phone
(202) 331-1640
Fax
(202) 331-9039
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411878 VA Primary
Dentist 122300000X DEN1001167 DC

Addresses

Primary practice location

1145 19TH St NW
Suite 512
Washington, DC 20036-3701

Mailing address

1145 19TH St NW
Suite 512
Washington, DC 20036-3701
Phone (202) 331-1640

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

LicenseStateTypeSpecialty
DEN1001167DCMDDentist
0401411878VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cosmetic and General Dentistry Group, PC PastSince Jan 24, 2021 Accepting new patients
Advanced Cosmetic Dentistry PLLC Dentist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4697/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1023216496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE 512",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "202-331-1640",
            "fax_number": "202-331-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE 512",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "202-331-1640",
            "fax_number": "202-331-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHANGIRI",
        "first_name": "AROUSHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411878",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.