NPIMap

Organization Active NPI

Shohreh Sharif DDS PC

  • Pediatric Dentistry
  • Fairfax, VA
National Provider Identifier
1215091541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401007886 Issued in VA
Legal business name
SHOHREH SHARIF DDS PC
Practice address
3700 Joseph Siewick Drive
Fairfax, VA 22033
Phone
(703) 620-9122
Fax
(703) 620-6033
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shohreh Sharif, DDSNPI 1144523218
Title
Dentist President of Company
Phone
(703) 620-9122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 0401007886 VA Primary

Addresses

Primary practice location

3700 Joseph Siewick Drive
Fairfax, VA 22033

Mailing address

3700 Joseph Siewick Drive
Suite 104
Fairfax, VA 22033
Phone (703) 620-9122

Other names 1

  • Sherry Sharif DDS PC Other name

National Provider Directory

National Provider Directory

Locations

3700 Joseph Siewick Dr
Ste 104
Fairfax, VA 22033
Phone (703) 620-9122

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215091541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DRIVE",
            "address_2": "SUITE 104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-620-9122",
            "fax_number": "703-620-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DRIVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-620-9122",
            "fax_number": "703-620-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOHREH SHARIF DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "SHOHREH",
        "authorized_official_title_or_position": "DENTIST PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "703-620-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401007886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherry Sharif DDS PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.