Individual provider Active NPI

Laudan Izadi, DDS

  • Dentist
  • Washington, DC
National Provider Identifier
1497948343
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1000690 Issued in DC
Practice address
2021 K Street NW
Suite 518
Washington, DC 20006
Phone
(202) 296-4356
Fax
(202) 293-2274
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14189 MD
Dentist 122300000X DEN1000690 DC Primary

Addresses

Primary practice location

2021 K Street NW
Suite 518
Washington, DC 20006

Mailing address

2021 K Street NW
Suite 518
Washington, DC 20006
Phone (202) 296-4356

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
DEN1000690DCMDDentist
14189MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1497948343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K STREET NW",
            "address_2": "SUITE 518",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20006",
            "telephone_number": "202-296-4356",
            "fax_number": "202-293-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K STREET NW",
            "address_2": "SUITE 518",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20006",
            "telephone_number": "202-296-4356",
            "fax_number": "202-293-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZADI",
        "first_name": "LAUDAN",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14189",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000690",
            "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 Apr 9, 2015; 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.