Individual provider Active NPI

Farah Farhoumand, DDS

  • General Practice Dentistry
  • Vienna, VA
National Provider Identifier
1144364159
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007608 Issued in VA
Practice address
8150 Leesburg Pike Ste 920
Vienna, VA 22182-2714
Phone
(703) 636-2442
Fax
(703) 636-2440
NPI assigned
Feb 16, 2007
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007608 VA Primary

Addresses

Primary practice location

8150 Leesburg Pike Ste 920
Vienna, VA 22182-2714

Mailing address

8150 Leesburg Pike Ste 920
Vienna, VA 22182-2714
Phone (703) 636-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 7, 2024 through Oct 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401007608VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1144364159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE STE 920",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822714",
            "telephone_number": "703-636-2442",
            "fax_number": "703-636-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE STE 920",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822714",
            "telephone_number": "703-636-2442",
            "fax_number": "703-636-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHOUMAND",
        "first_name": "FARAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.