Lida Sadr, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401008799 Issued in VA

Practice address

44031 Ashburn Shopping Plaza #131
Ashburn, VA 20147

Phone

(703) 858-3456

Fax

(703) 723-7100

NPI assigned

Sep 27, 2006

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Female

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

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bright Smiles, DDS PC

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1194180760
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1376634527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 KEMPSVILLE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647302",
            "telephone_number": "757-497-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44031 ASHBURN SHOPPING PLAZA #131",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-858-3456",
            "fax_number": "703-723-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADR",
        "first_name": "LIDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea A Rutherfurd, FNP
• Rxwellness Spine & Health - Ashburn LLC
• Josiah Philip Ryabinov, D.C.
• S. J. Lan DDS PLLC (Loudoun Pediatric Dentistry)
• Martina W Sadik, COTA/L
• Susan B Saint-Rossy, MSW, LCSW
• Aileen Sakowski
• Christine Dede Sakyi
• Babak Salahbin, D.D.S.
• Shahrzad Salartash, D.D.S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.