Shaghayegh Sobhani

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401418089 Issued in VA

Practice address

12104 Sheraton Hills Dr
Fredericksburg, VA 22407-6748

Phone

(540) 548-2605

NPI assigned

Dec 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fredericksburg Dentist and Implant Center, Inc.

  • Dentist
  • Fredericksburg, VA
  • NPI 1649098500
  NPD

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1235841479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25523 BERESFORD DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201523903",
            "telephone_number": "352-283-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12104 SHERATON HILLS DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076748",
            "telephone_number": "540-548-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBHANI",
        "first_name": "SHAGHAYEGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401418089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Snider
• Tegan A. L. Snigier, PSY.D.
• Frank Snow, M.D.
• Lauren Snyder
• Snzlabs
• George Thomas Sofis, M.D.
• Soft Hands Home Health Care LLC
• Shane Joseph Softy, RPH
• John Bernard Sohocki III, PSY.D.
• Mitchell Sojack, LCSW, PHD, MPA

• Periodontics in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.