Shahin Yousefzadeh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413335 Issued in VA

Practice address

6204 Little River Tpke
Alexandria, VA 22312-1714

Phone

(703) 658-3000

Fax

(703) 658-3550

NPI assigned

Mar 19, 2007

Sex

Male

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

Practice roles

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.

• Landmark Family Dental PLC

  • Dentist
  • Alexandria, VA
  • NPI 1346557980
  NPD (past)
• Let'S Smile of Landmark PLLC

  • Dentist
  • Alexandria, VA
  • NPI 1407449226
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1306961669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N FILLMORE ST",
            "address_2": "APT 426",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016701",
            "telephone_number": "310-210-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 LITTLE RIVER TPKE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121714",
            "telephone_number": "703-658-3000",
            "fax_number": "703-658-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFZADEH",
        "first_name": "SHAHIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles C Young, MD
• Justine D Young, PA
• Rachel Suzann Young, PA-C
• Yaasmeen Young
• Gulam Mustafa Younossi, MD
• Laura Youssef, PHARMD
• Leila M Youssef, M.D.
• Sabrina Yu Alfonzo, MD
• Clifton Edward Yu, M.D.
• Jean Yu

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, 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 May 16, 2013; 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.