Organization Active NPI

Amirreza Rafaat DDS PC

  • Durable Medical Equipment & Medical Supplies
  • Leesburg, VA
National Provider Identifier
1285168906
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0401410532 Issued in VA
Legal business name
AMIRREZA RAFAAT DDS PC
Practice address
19450 Deerfield Ave Ste 465
Leesburg, VA 20176-6822
Phone
(703) 724-4220
Fax
(703) 724-1910
NPI assigned
Apr 19, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Amirreza RafaatNPI 1922126499
Title
President
Phone
(703) 724-4220

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
Durable Medical Equipment & Medical Supplies 332B00000X 0401410532 VA Primary

Addresses

Primary practice location

19450 Deerfield Ave Ste 465
Leesburg, VA 20176-6822

Mailing address

19450 Deerfield Ave Ste 465
Leesburg, VA 20176-6822
Phone (703) 724-4220

National Provider Directory

National Provider Directory
Tax ID family
Amirreza Rafaat DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19450 Deerfield Ave
Ste 465
Leesburg, VA 20176
Phone (703) 724-4220

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": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1285168906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 465",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766822",
            "telephone_number": "703-724-4220",
            "fax_number": "703-724-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 465",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766822",
            "telephone_number": "703-724-4220",
            "fax_number": "703-724-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIRREZA RAFAAT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "RAFAAT",
        "authorized_official_first_name": "AMIRREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-724-4220"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0401410532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.