Individual provider Active NPI

Nazly Narany, DMD

  • Dentist
  • McLean, VA
National Provider Identifier
1366119844
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401417650 Issued in VA
Practice address
1524 Lincoln Way Unit 203
MC Lean, VA 22102-5860
Phone
(703) 203-5207
NPI assigned
Aug 24, 2021
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17611 MD
Dentist 122300000X 0401417650 VA Primary

Addresses

Primary practice location

1524 Lincoln Way Unit 203
MC Lean, VA 22102-5860

Mailing address

1524 Lincoln Way Unit 203
MC Lean, VA 22102-5860
Phone (703) 203-5207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307002437 VA Order and Referring Only - DentistPractitioner - Dentist 6204209570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17611MDMDDentist
0401417650VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1366119844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 LINCOLN WAY UNIT 203",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025860",
            "telephone_number": "703-203-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 LINCOLN WAY UNIT 203",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025860",
            "telephone_number": "703-203-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANY",
        "first_name": "NAZLY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17611",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.