Individual provider Active NPI

Sarah Saghi Ganjavi, DDS

  • Pediatric Dentistry
  • Vienna, VA
National Provider Identifier
1194811455
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401008939 Issued in VA
Practice address
301 Maple Ave W
Suite 400
Vienna, VA 22180-4308
Phone
(703) 938-6600
Fax
(703) 938-7030
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11910 MD
Pediatric Dentistry 1223P0221X 0401008939 VA Primary

Addresses

Primary practice location

301 Maple Ave W
Suite 400
Vienna, VA 22180-4308

Mailing address

301 Maple Ave W
Suite 400
Vienna, VA 22180-4308
Phone (703) 938-6600

Other names 1

  • Dr. Sarah Ganjavi Other name

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
11910MDMDPediatric Dentist
0401008939VAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1194811455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE W",
            "address_2": "SUITE 400",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804308",
            "telephone_number": "703-938-6600",
            "fax_number": "703-938-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE W",
            "address_2": "SUITE 400",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804308",
            "telephone_number": "703-938-6600",
            "fax_number": "703-938-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJAVI",
        "first_name": "SARAH",
        "middle_name": "SAGHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "11910",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401008939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GANJAVI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.