Individual provider Active NPI

Fereshteh Jarvandi, DDS

  • Dentist
  • Richmond, VA
National Provider Identifier
1457369779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007591 Issued in VA
Practice address
4712 Jefferson Davis Hwy
Richmond, VA 23234
Phone
(804) 271-9828
Fax
(804) 271-6969
NPI assigned
Aug 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401007591 VA Primary

Addresses

Primary practice location

4712 Jefferson Davis Hwy
Richmond, VA 23234

Mailing address

4712 Jefferson Davis Hwy
Richmond, VA 23234
Phone (804) 271-9828

Other identifiers 3

IdentifierTypeStateIssuer
007816103MedicaidVA
832506OtherUCCI
143930OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401007591VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fereshteh Jarvandi DDS PC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457369779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 JEFFERSON DAVIS HWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23234",
            "telephone_number": "804-271-9828",
            "fax_number": "804-271-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 JEFFERSON DAVIS HWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23234",
            "telephone_number": "804-271-9828",
            "fax_number": "804-271-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVANDI",
        "first_name": "FERESHTEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007816103",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "832506",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "143930",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.