Individual provider Active NPI

Ariana Gabriela Feizi, DDS

  • Dentist
  • Potomac, MD
National Provider Identifier
1467028472
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17259 Issued in MD
Practice address
10109 Watts Mine LN
Potomac, MD 20854-5436
Phone
(240) 644-8761
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17259 MD Primary

Addresses

Primary practice location

10109 Watts Mine LN
Potomac, MD 20854-5436

Mailing address

10109 Watts Mine LN
Potomac, MD 20854-5436
Phone (240) 644-8761

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
17259MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Virginia, P.C Past Accepting new patients
Dental Professionals of Virginia, P.C. Past Accepting new patients
Dental Professionals of Virginia, P.C. Past Accepting new patients
Dental Professionals of Virginia, P.C. Past Accepting new patients

Organizations & group practices 4

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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1467028472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 WATTS MINE LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208545436",
            "telephone_number": "240-644-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 WATTS MINE LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208545436",
            "telephone_number": "240-644-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIZI",
        "first_name": "ARIANA",
        "middle_name": "GABRIELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.