Active NPI
Shaden Alfaqih, DDS
- Pediatric Dentistry
- Washington, DC
National Provider Identifier
1073071197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401416205
- Practice address
- 600 W St NW
Washington, DC 20059-5904 - Phone
- (708) 655-4984
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401416205 | VA | Primary |
Addresses
Primary practice location
600 W St NW
Washington, DC 20059-5904
Mailing address
224 N Fayette St
Alexandria, VA 22314
Phone (703) 519-7275
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 |
|---|---|---|---|
| 0401416205 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker-Gray Pediatric Dental Care, PC | Pediatric Dentistry | Past | Accepting new patients |
| Noor Orthodontics Inc | Past | Accepting new patients |
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Falls Church, VA
- NPI 1982197992
-
- Pediatric Dentistry
- Alexandria, VA
- NPI 1609291533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1073071197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 N FAYETTE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22314",
"telephone_number": "703-519-7275",
"fax_number": "571-551-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200595904",
"telephone_number": "708-655-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFAQIH",
"first_name": "SHADEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401416205",
"primary": true
}
],
"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 Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.