Individual provider Active NPI

Sassan Nadjmi, DMD

  • Prosthodontics
  • Falls Church, VA
National Provider Identifier
1245376011
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401412383 Issued in VA
Practice address
313 Park Ave
Suite #306
Falls Church, VA 22046-3327
Phone
(703) 532-7586
NPI assigned
Jan 29, 2007
Last updated
Dec 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 20173 MA
Prosthodontics 1223P0700X 0401412383 VA Primary

Addresses

Primary practice location

313 Park Ave
Suite #306
Falls Church, VA 22046-3327

Mailing address

313 Park Ave
Suite #306
Falls Church, VA 22046-3327
Phone (703) 532-7586

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

LicenseStateTypeSpecialty
0401412383VAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1245376011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PARK AVE",
            "address_2": "SUITE #306",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463327",
            "telephone_number": "703-532-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PARK AVE",
            "address_2": "SUITE #306",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463327",
            "telephone_number": "703-532-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADJMI",
        "first_name": "SASSAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "20173",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401412383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.