Active NPI
Farzaneh Rostami, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Washington, DC
National Provider Identifier
1295055762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0401413397
- Practice address
- 1145 19TH St NW Ste 777
Washington, DC 20036-3744 - Phone
- (022) 296-6600
- NPI assigned
- Jun 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DEN1001418 | DC | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401413397 | VA | Primary |
Addresses
Primary practice location
1145 19TH St NW Ste 777
Washington, DC 20036-3744
Mailing address
611 S Carlin Springs Rd Ste 308
Arlington, VA 22204-1086
Phone (703) 379-2700
Other practice location 1
611 S Carlin Springs Rd Ste 308
Arlington, VA 22204-1086
Phone (703) 379-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15664 | MD | MD | Clinical Social Worker |
| DEN1001418 | DC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0401413397 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Oral & Facial Surgery, LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
4701 Randolph Rd
Ste G10
Rockville, MD 20852
Phone (301) 468-0020
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 and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Rockville, MD
- NPI 1942573860
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1295055762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S CARLIN SPRINGS RD STE 308",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222041086",
"telephone_number": "703-379-2700",
"fax_number": "703-995-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 19TH ST NW STE 777",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363744",
"telephone_number": "022-296-6600"
}
],
"practiceLocations": [
{
"address_1": "611 S Carlin Springs Rd Ste 308",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222041086",
"country_code": "US",
"telephone_number": "703-379-2700",
"fax_number": "703-995-0813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSTAMI",
"first_name": "FARZANEH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "DC",
"license": "DEN1001418",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401413397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.