Roshanak Rastegar, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0101418229 Issued in VA

Practice address

135 Conston Ave
Christiansburg, VA 24073-1151

Phone

(540) 385-4501

Fax

(205) 934-7013

NPI assigned

Jul 16, 2018

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1245716083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 WESTPARK DR APT 1915",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024296",
            "telephone_number": "205-383-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CONSTON AVE",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731151",
            "telephone_number": "540-385-4501",
            "fax_number": "205-934-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTEGAR",
        "first_name": "ROSHANAK",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0101418229",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Rai, M.D.
• Holden David Raines, LPC
• Ashish Raju, M.D.
• Tejal Raju, M.D.
• Blair Kathleen Rary
• Frederic A Rawlins II, D.O.
• Deetta J Ray, NP
• Real Life Dental of Christiansburg, PLLC (Real Life Dental)
• Lynne Marie Reece, LCSW
• Douglas Reeve, PA

• Pediatric Dentistry in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.