Mina Eileen Abdolahi, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401413394 Issued in VA

Practice address

21155 Whitfield PL
Suite 107
Sterling, VA 20165-7281

Phone

(703) 404-7222

NPI assigned

Jan 29, 2013

Last updated

Jun 20, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434758400000",
    "number": "1386982122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20622 GLENMERE SQ",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201653563",
            "telephone_number": "703-927-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21155 WHITFIELD PL",
            "address_2": "SUITE 107",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657281",
            "telephone_number": "703-404-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDOLAHI",
        "first_name": "MINA",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2015-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413394",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "30343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ab79 Inc
• Azita Abbasi-Hafshejani, DDS
• Raquel Andrea Abdala
• Hala Mohammad Abdallah, M.D
• Zakaria Abdi
• Seifuddin Mujahid Abdul-Rashid
• Marwah Abdullah
• Shahid Abdurrahman
• Meklit M Abebe, O.D
• Mariam K Abedrabo, BS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2015; 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.