NPIMap

Organization Active NPI

Nikkhah, PLC

  • Dentist
  • Ashburn, VA
National Provider Identifier
1568635225
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410680 Issued in VA
Legal business name
NIKKHAH, PLC
Practice address
44365 Premier PLZ
Suite #230
Ashburn, VA 20147-5057
Phone
(703) 726-4444
Fax
(703) 935-8018
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Pouran Nikkhah, DOCTORNPI 1437288461
Title
Ceo
Phone
(703) 430-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401410680 VA Primary

Addresses

Primary practice location

44365 Premier PLZ
Suite #230
Ashburn, VA 20147-5057

Mailing address

44365 Premier PLZ
Suite #230
Ashburn, VA 20147-5057
Phone (703) 726-4444

Other names 1

  • d3ntist Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1568635225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44365 PREMIER PLZ",
            "address_2": "SUITE #230",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475057",
            "telephone_number": "703-726-4444",
            "fax_number": "703-935-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44365 PREMIER PLZ",
            "address_2": "SUITE #230",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475057",
            "telephone_number": "703-726-4444",
            "fax_number": "703-935-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKHAH, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "NIKKHAH",
        "authorized_official_first_name": "POURAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-430-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d3ntist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.