Seyed Omid Dianat

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401417091 Issued in VA

Practice address

13880 Braddock Rd Ste 307
Centreville, VA 20121-2462

Phone

(703) 815-3636

NPI assigned

Jul 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Omid Dianat, DDS, Ms, PC

  • Dental Clinic/Center
  • Irvine, CA
  • NPI 1588445241
  NPD Authorized official

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1184233256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 307",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "703-815-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 307",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "703-815-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANAT",
        "first_name": "SEYED OMID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401417091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Montgomery Derohan, PT
• Devantrax Med Sollutions LLC
• Shriyam Dhakal, LCSW
• Melissa Anne Dhas, NP
• Diana O'Brien, LCSW. Med, LLC
• Justin Dickover, DC
• Cris Antao Digamo, LAB TECHNICIAN
• Margaret Mary Divincenzo, M.S.
• Divine Touch Home Health
• DMV Counseling Consulting & Coaching

• Endodontics in Centreville, VA
• Providers in Centreville, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.