Sasan Ahmadiyar, DDS,PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008767 Issued in VA

Legal business name

SASAN AHMADIYAR, DDS,PLLC

Practice address

1911 Ballenger Ave
Alexandria, VA 22314-6819

Phone

(703) 299-1200

NPI assigned

Nov 27, 2017

Last updated

Nov 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sasan Ahmadiyar, DDSNPI 1699801787

Title

Dentist

Phone

(703) 299-1200

Specialties & licenses 2

Addresses

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.

• Sasan Ahmadiyar, DDS

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1699801787
  Authorized official Same address or phone

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1396259586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 LEAVELLS RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071256",
            "telephone_number": "540-710-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 BALLENGER AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223146819",
            "telephone_number": "703-299-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASAN AHMADIYAR, DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "AHMADIYAR",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-299-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008767",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pawanjit Susan Sarkaria, M.D.
• David Sarment, DDS
• Danielle Sarpong, BA
• Deborah Mann Sarro, MPT
• Stephen J. Sarro, PTOMT
• Tamra M Sass, LMT, NCBTMB
• John Sather
• Samira Sather, ND
• Satisfied Health Care
• Marlene N Saucedo Donoso

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.