Flora B Tajalli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008639 Issued in VA

Practice address

209 Elden St
Suite 210
Herndon, VA 20170-4852

Phone

(703) 709-0102

Fax

(703) 709-6916

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1295896892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ELDEN ST",
            "address_2": "SUITE 210",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704852",
            "telephone_number": "703-709-0102",
            "fax_number": "703-709-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ELDEN ST",
            "address_2": "SUITE 210",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704852",
            "telephone_number": "703-709-0102",
            "fax_number": "703-709-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJALLI",
        "first_name": "FLORA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Herndon, VA
• Providers in Herndon, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.