Organization Active NPI

Lansdowne Pediatric Dentistry

  • Pediatric Dentistry
  • Lansdowne, VA
National Provider Identifier
1306622014
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LANSDOWNE PEDIATRIC DENTISTRY
Practice address
19415 Deerfield Ave Ste 304
Lansdowne, VA 20176-8472
Phone
(517) 210-2771
Fax
(571) 210-0606
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Dr. Sheyda Maghsoudi, DDSNPI 1801327747
Title
Pediatric Dentist
Phone
(703) 728-5798

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

19415 Deerfield Ave Ste 304
Lansdowne, VA 20176-8472

Mailing address

9632 Fields Rd
Gaithersburg, MD 20878-4738
Phone (703) 728-5798

National Provider Directory

National Provider Directory

Locations

19415 Deerfield Ave
Ste 304
Lansdowne, VA 20176
Phone (517) 210-2771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1306622014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 FIELDS RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784738",
            "telephone_number": "703-728-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 304",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768472",
            "telephone_number": "517-210-2771",
            "fax_number": "571-210-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSDOWNE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDI",
        "authorized_official_first_name": "SHEYDA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "703-728-5798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.