Organization Active NPI

Samirah Smiles LLC

  • Dental Clinic/Center
  • Sterling, VA
National Provider Identifier
1386328987
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SAMIRAH SMILES LLC
Practice address
46045 Palisade Pkwy Ste 220
Sterling, VA 20165-8762
Phone
(202) 492-0034
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Ibraheem SamirahNPI 1386158673
Title
Owner/DDS
Phone
(202) 492-0034

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

46045 Palisade Pkwy Ste 220
Sterling, VA 20165-8762

Mailing address

46045 Palisade Pkwy Ste 220
Sterling, VA 20165-8762

National Provider Directory

National Provider Directory

Locations

46045 Palisade Pkwy
Ste 220
Sterling, VA 20165
Phone (202) 492-0034

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1386328987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46045 PALISADE PKWY STE 220",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201658762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46045 PALISADE PKWY STE 220",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201658762",
            "telephone_number": "202-492-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIRAH SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "SAMIRAH",
        "authorized_official_first_name": "IBRAHEEM",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "202-492-0034"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.