Organization Active NPI

Forough Parvizian-Yazdani D.D.S.

  • General Practice Dentistry
  • Vienna, VA
National Provider Identifier
1194950634
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410415 Issued in VA
Legal business name
FOROUGH PARVIZIAN-YAZDANI D.D.S.
Practice address
212 Park St SE
Vienna, VA 22180-4655
Phone
(703) 938-0774
Fax
(703) 938-1025
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Forough P Yazdani, D.D.S.
Title
Owner
Phone
(703) 938-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401410415 VA Primary

Addresses

Primary practice location

212 Park St SE
Vienna, VA 22180-4655

Mailing address

212 Park St SE
Vienna, VA 22180-4655
Phone (703) 938-0774

National Provider Directory

National Provider Directory

Locations

212 Park St SE
Vienna, VA 22180
Phone (703) 938-0774

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1194950634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PARK ST SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804655",
            "telephone_number": "703-938-0774",
            "fax_number": "703-938-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PARK ST SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804655",
            "telephone_number": "703-938-0774",
            "fax_number": "703-938-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOROUGH PARVIZIAN-YAZDANI D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "YAZDANI",
        "authorized_official_first_name": "FOROUGH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-938-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 28, 2009; 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.