Active NPI
Shazia Anjum, DDS
- Dentist
- Purcellville, VA
National Provider Identifier
1194957258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412443
- Practice address
- 540 E Main St
Purcellville, VA 20132-3171 - Phone
- (540) 338-6262
- Fax
- (540) 338-7054
- NPI assigned
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401412443 | VA | Primary |
Addresses
Primary practice location
540 E Main St
Purcellville, VA 20132-3171
Mailing address
540 E Main St
Purcellville, VA 20132-3171
Phone (540) 338-6262
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412443 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dentistry, Gregory S. Direnzo, DMD | Past | 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.
-
- General Practice Dentistry
- Purcellville, VA
- NPI 1104298975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1194957258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 E MAIN ST",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201323171",
"telephone_number": "540-338-6262",
"fax_number": "540-338-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 E MAIN ST",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201323171",
"telephone_number": "540-338-6262",
"fax_number": "540-338-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANJUM",
"first_name": "SHAZIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-21",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purcellville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.