Pamela Marzban DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAMELA MARZBAN DDS PC

Practice address

8996 Burke Lake Rd Ste 101
Burke, VA 22015-1607

Phone

(703) 323-8200

Fax

(703) 978-3679

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Pamela Marzban, DDS, PCNPI 1083162127

Title

Sole Proprietor President

Phone

(703) 323-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 16, 2016 through Mar 16, 2028

Medicare enrollment (NPD)

Not enrolled

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Marzban, DDS

  • Dentist
  • Burke, VA
  • NPI 1083162127
  NPD (past) Authorized official
• Sina Reangber, DDS

  • General Practice Dentistry
  • Haymarket, VA
  • NPI 1912043068
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407913692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE RD STE 101",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151607",
            "telephone_number": "703-323-8200",
            "fax_number": "703-978-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE RD STE 101",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151607",
            "telephone_number": "703-323-8200",
            "fax_number": "703-978-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA MARZBAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARZBAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR  PRESIDENT",
        "authorized_official_telephone_number": "703-323-8200",
        "authorized_official_credential": "DDS, PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karandeep Othee, MD
• Elizabeth C Owens, LDN
• Rose Owusu
• Alireza Palizi, D.D.S
• Mary Jo Palmer, DC
• Passport Health Holdings, LLC
• Bianca Kirit Patel, M.D.
• Meetal Patel
• Vaibhaviben Patel
• Pathways Psychological Services LLC.

• General Practice Dentistry in Burke, VA
• Providers in Burke, 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 Aug 22, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.