Organization Active NPI

Mariah Shojaei DMD, MSC, MSD, PC

  • Endodontics
  • Potomac Falls, VA
National Provider Identifier
1063538304
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401410351 Issued in VA
Legal business name
MARIAH SHOJAEI DMD, MSC, MSD, PC
Practice address
46161 Westlake Dr Ste 120
Potomac Falls, VA 20165-5871
Phone
(703) 406-3180
Fax
(703) 406-4466
NPI assigned
Mar 21, 2007
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Miss Simona Valeri
Title
Endodontists
Phone
(703) 406-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401410351 VA Primary

Addresses

Primary practice location

46161 Westlake Dr Ste 120
Potomac Falls, VA 20165-5871

Mailing address

46161 Westlake Dr Ste 120
Potomac Falls, VA 20165-5871
Phone (703) 406-3180

National Provider Directory

National Provider Directory

Locations

46161 Westlake Dr
Ste 120
Potomac Falls, VA 20165
Phone (703) 406-3180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1063538304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR STE 120",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-406-3180",
            "fax_number": "703-406-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR STE 120",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-406-3180",
            "fax_number": "703-406-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAH SHOJAEI DMD, MSC, MSD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "VALERI",
        "authorized_official_first_name": "SIMONA",
        "authorized_official_title_or_position": "ENDODONTISTS",
        "authorized_official_telephone_number": "703-406-3180",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401410351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.