Active NPI
Mehdi S Adili, DDS
- Prosthodontics
- McLean, VA
National Provider Identifier
1245310747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 7522
- Practice address
- 8280 Greensboro Dr.
Suite 105
McLean, VA 22102 - Phone
- (703) 442-0442
- Fax
- (703) 442-0498
- NPI assigned
- Oct 17, 2006
- Last updated
- Jun 18, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 7522 | VA | Primary |
Addresses
Primary practice location
8280 Greensboro Dr.
Suite 105
McLean, VA 22102
Mailing address
P.O. Box 10403
McLean, VA 22103
Phone (703) 442-0442
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 |
|---|---|---|---|
| 7522 | VA | MD | Prosthodontist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- McLean, VA
- NPI 1689747412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1245310747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 10403",
"city": "MCLEAN",
"state": "VA",
"postal_code": "22103",
"telephone_number": "703-442-0442",
"fax_number": "703-442-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8280 GREENSBORO DR.",
"address_2": "SUITE 105",
"city": "MCLEAN",
"state": "VA",
"postal_code": "22102",
"telephone_number": "703-442-0442",
"fax_number": "703-442-0498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADILI",
"first_name": "MEHDI",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "VA",
"license": "7522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.