Individual provider Active NPI

Mohammad Mehran Rouhanian, D.D.S.

  • Dentist
  • Fredericksburg, VA
National Provider Identifier
1093967010
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14130 Issued in MD
Practice address
4300 Plank Rd Ste 230
Fredericksburg, VA 22407-0107
Phone
(540) 785-5300
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412202 VA
Dentist 122300000X DEN1000737 DC
Dentist 122300000X 14130 MD Primary

Addresses

Primary practice location

4300 Plank Rd Ste 230
Fredericksburg, VA 22407-0107

Mailing address

11409 Saddleview PL
North Potomac, MD 20878-3862
Phone (301) 793-2576

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
DEN1000737DCMDDentist
0401412202VAMDDentist
14130MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aram Afsahi, DDS, P.C. PastSince Jun 26, 2022 Accepting new patients

Organizations & group practices 1

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1093967010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11409 SADDLEVIEW PL",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783862",
            "telephone_number": "301-793-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PLANK RD STE 230",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070107",
            "telephone_number": "540-785-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUHANIAN",
        "first_name": "MOHAMMAD MEHRAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412202",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000737",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.