Blossom Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLOSSOM DENTISTRY PLLC

Practice address

2600 Virginia Ave NW Ste 501
Washington, DC 20037-1946

Phone

(202) 922-2900

NPI assigned

Dec 30, 2019

Last updated

Dec 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mahboubeh Sahrai, DDSNPI 1740679455

Title

DDS

Phone

(202) 922-2900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahboubeh Sahrai, DDS

  • Dentist
  • Washington, DC
  • NPI 1740679455
  NPD Authorized official

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1336788926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE 501",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371946",
            "telephone_number": "202-922-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE 501",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371946",
            "telephone_number": "202-922-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "SAHRAI",
        "authorized_official_first_name": "MAHBOUBEH",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "202-922-2900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Bloom, MD
• Melissa J Bloomer, M.A., CCC-SLP
• Joanna Bloomfield
• Kevin Alexander Bloomfield II
• Oluwaseun Blose
• Blossom Primary Care Services LLC
• Blossom Therapy Services LLC
• Breon Blount
• Jocelyn Ann Blount
• Joshua Javon Blount

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.