Individual provider Active NPI

Mina Nashed, DMD

  • Dentist
  • Ashburn, VA
National Provider Identifier
1164090288
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401417483 Issued in VA
Practice address
44790 Maynard SQ Ste 180
Ashburn, VA 20147-6515
Phone
(703) 729-7900
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25844 FL
Dentist 122300000X 0401417483 VA Primary

Addresses

Primary practice location

44790 Maynard SQ Ste 180
Ashburn, VA 20147-6515

Mailing address

2182 Morning Sun LN
Naples, FL 34119-3327
Phone (239) 287-0190

Other practice location 1

5249 Duke St Ste 409
Alexandria, VA 22304-2907
Phone (703) 370-6800

Other practice location 2

1553 Alabama Ave SE
Washington, DC 20032-5054
Phone (202) 610-3300

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
DN25844FLMDDentist
0401417483VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
One Loudoun Dental LLC PastSince Sep 28, 2021 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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1164090288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 MORNING SUN LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193327",
            "telephone_number": "239-287-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44790 MAYNARD SQ STE 180",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476515",
            "telephone_number": "703-729-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5249 Duke St Ste 409",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223042907",
            "country_code": "US",
            "telephone_number": "703-370-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1553 Alabama Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200325054",
            "country_code": "US",
            "telephone_number": "202-610-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASHED",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25844",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.