Organization Active NPI

Shahla Ranjbar, DMD, PLC

  • Dentist
  • Leesburg, VA
National Provider Identifier
1225238017
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
VA7845 Issued in VA
Legal business name
SHAHLA RANJBAR, DMD, PLC
Practice address
545 E Market St Ste G
Leesburg, VA 20176-4172
Phone
(703) 669-8688
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Dr. Shahla Ranjbar, D.M.D.NPI 1629278411
Title
Ceo
Phone
(703) 669-8688

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X VA7845 VA Primary

Addresses

Primary practice location

545 E Market St Ste G
Leesburg, VA 20176-4172

Mailing address

PO Box 2964
Leesburg, VA 20177-7956
Phone (703) 669-8688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1225238017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2964",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201777956",
            "telephone_number": "703-669-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E MARKET ST STE G",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764172",
            "telephone_number": "703-669-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHLA RANJBAR, DMD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "RANJBAR",
        "authorized_official_first_name": "SHAHLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-669-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "VA7845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.