Ghanbari & Koshki, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BG3069348 Issued in VA

Legal business name

GHANBARI & KOSHKI, DDS PC

Practice address

5727 Centre Square Dr
Centreville, VA 20120-1916

Phone

(703) 803-9200

Fax

(703) 803-9419

NPI assigned

Jul 20, 2006

Last updated

Jul 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Ann Spicer

Title

Office Manager

Phone

(703) 803-9200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohsen Ghanbari, D.D.S.

  • Dentist
  • Centreville, VA
  • NPI 1811189913
  NPD (past)
• Maria I Martinez, D.D.S.

  • Dentist
  • Centreville, VA
  • NPI 1437341534
  NPD (past)
• Vahid Yahoodain, D.D.S

  • Dentist
  • Montebello, CA
  • NPI 1275833386
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1184644494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 CENTRE SQUARE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-803-9200",
            "fax_number": "703-803-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 CENTRE SQUARE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-803-9200",
            "fax_number": "703-803-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHANBARI & KOSHKI, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-803-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "BG3069348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Garg, M.D.
• Gastro Nova Center LLC
• Sharon Gehrman, OT
• George Xenakis DDS, VA, PLLC
• Geunjae Clinic LLC.
• Mohsen Ghanbari, D.D.S.
• Giant of Maryland LLC (Giant Pharmacy 788)
• Giant of Maryland LLC (Giant Pharmacy 740)
• Kelly Erin Gibson
• Global Family Medicine LLC

• General Practice Dentistry in Centreville, VA
• Providers in Centreville, 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 10, 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.