Organization Active NPI

Farragut Family Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, DC
National Provider Identifier
1346890761
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FARRAGUT FAMILY ORTHODONTICS PLLC
Practice address
818 18TH St NW Ste 747
Washington, DC 20006-3513
Phone
(240) 751-8206
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Dr. Hamid Reza Saranjam, DDSNPI 1528412426
Title
Owner Doctor
Phone
(240) 751-8206

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

818 18TH St NW Ste 747
Washington, DC 20006-3513

Mailing address

818 18TH St NW Ste 747
Washington, DC 20006-3513
Phone (240) 751-8206

Other identifiers 1

IdentifierTypeStateIssuer
097075600MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Washington Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

818 18th St NW
Ste 747
Washington, DC 20006
Phone (202) 330-1688

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": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1346890761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 18TH ST NW STE 747",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063513",
            "telephone_number": "240-751-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 18TH ST NW STE 747",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063513",
            "telephone_number": "240-751-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRAGUT FAMILY ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "SARANJAM",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "240-751-8206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097075600",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "818 18th St NW Ste 747",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200063513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.