Anisa Kasiri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401416484 Issued in VA

Practice address

9401 Courthouse Rd Ste 306
Chesterfield, VA 23832-6686

Phone

(804) 768-7600

Fax

(804) 768-0115

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anisa Mohammad Issa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Anisa Kasiri DDS PLLC

  • Dentist
  • Chesterfield, VA
  • NPI 1508616806
  NPD Authorized official
• Family Dental of Virginia, LLC

  • General Practice Dentistry
  • Richmond, VA
  • NPI 1124392451
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1366935017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 MEADOWDALE BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 COURTHOUSE RD STE 306",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326686",
            "telephone_number": "804-768-7600",
            "fax_number": "804-768-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIRI",
        "first_name": "ANISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISA",
            "last_name": "MOHAMMAD ISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dentist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.