Active NPI
Laudan Izadi, DDS
- Dentist
- Washington, DC
National Provider Identifier
1497948343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN1000690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1000690 | DC | MD | Dentist |
| 14189 | MD | MD | Dentist |
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.