Individual provider Active NPI

Farzaneh Rostami, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, DC
National Provider Identifier
1295055762
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401413397 Issued in VA
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

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150122001658 DC Practitioner - Oral Surgery 3173847175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15664MDMDClinical Social Worker
DEN1001418DCMDOral and Maxillofacial Surgery (Dentist)
0401413397VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Oral & Facial Surgery, LLC Oral and Maxillofacial Surgery CurrentSince Oct 26, 2014 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.

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

Verify at the official NPI Registry.