NPIMap

Organization Active NPI

Hashem Sedaghatpour D.M.D. P.C.

  • Dentist
  • Burke, VA
National Provider Identifier
1235551508
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007900 Issued in VA
Legal business name
HASHEM SEDAGHATPOUR D.M.D. P.C.
Practice address
5631 Burke Centre Pkwy
Suite D
Burke, VA 22015-2234
Phone
(703) 250-5790
Fax
(703) 250-2935
NPI assigned
Jan 6, 2014
Last updated
Jan 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Hashem SedaghatpourNPI 1851413595
Title
Owner
Phone
(703) 250-5790

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 0401007900 VA Primary

Addresses

Primary practice location

5631 Burke Centre Pkwy
Suite D
Burke, VA 22015-2234

Mailing address

5631 Burke Centre Pkwy
Suite D
Burke, VA 22015-2234
Phone (703) 250-5790

National Provider Directory

National Provider Directory

Locations

5631 Burke Centre Pkwy
Ste D
Burke, VA 22015
Phone (703) 250-5790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1235551508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 BURKE CENTRE PKWY",
            "address_2": "SUITE D",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152234",
            "telephone_number": "703-250-5790",
            "fax_number": "703-250-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 BURKE CENTRE PKWY",
            "address_2": "SUITE D",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152234",
            "telephone_number": "703-250-5790",
            "fax_number": "703-250-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASHEM SEDAGHATPOUR D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "SEDAGHATPOUR",
        "authorized_official_first_name": "HASHEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-250-5790"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.