Roxanne Azmoudeh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410979 Issued in VA

Practice address

44355 Premier PLZ Ste 100
Ashburn, VA 20147-5050

Phone

(703) 858-9146

Fax

(703) 858-9147

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Roxanne Hariri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roxanne Azmoudeh, D.D.S. P. C.

  • Dental Clinic/Center
  • Ashburn, VA
  • NPI 1366937096
  NPD (past) Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073715314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44355 PREMIER PLZ STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475050",
            "telephone_number": "703-858-9146",
            "fax_number": "703-858-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44355 PREMIER PLZ STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475050",
            "telephone_number": "703-858-9146",
            "fax_number": "703-858-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMOUDEH",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410979",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "HARIRI",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taleen Avedisian, PSYD
• Zaineb Awan
• Awesome Care, Inc
• Azari Counseling, LLC
• Arezou Azizaldin, O.D.
• Maya Bassam Bachour, D.D.S.
• Karina Baeza Grossmann-Siegert, M.A., CCC-SLP
• Mirza Sajid Raza Baig, MD
• Jeffrey Allen Bailey, ATC, NCTM
• Asima Bajwa, M.D.

• General Practice Dentistry in Ashburn, VA
• Providers in Ashburn, 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 Jul 8, 2007; 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.