Individual provider Active NPI

Mahnaz Shahinfar, D.D.S., D.M.D.

  • Pediatric Dentistry
  • Washington, DC
National Provider Identifier
1457563686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN 5338 Issued in DC
Practice address
5100 Wisconsin Ave NW
Suite # 309
Washington, DC 20016-4119
Phone
(202) 363-1537
Fax
(202) 363-1536
NPI assigned
May 3, 2007
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
Pediatric Dentistry 1223P0221X DEN 5338 DC Primary

Addresses

Primary practice location

5100 Wisconsin Ave NW
Suite # 309
Washington, DC 20016-4119

Mailing address

5100 Wisconsin Ave NW
Suite # 309
Washington, DC 20016-4119
Phone (202) 363-1537

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
DEN 5338DCMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457563686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW",
            "address_2": "SUITE # 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164119",
            "telephone_number": "202-363-1537",
            "fax_number": "202-363-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW",
            "address_2": "SUITE # 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164119",
            "telephone_number": "202-363-1537",
            "fax_number": "202-363-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHINFAR",
        "first_name": "MAHNAZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S., D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN 5338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

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.