Reza Hangval, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412047 Issued in VA

Practice address

10525 Braddock Rd
#9A
Fairfax, VA 22032-2248

Phone

(703) 323-4626

Fax

(703) 323-4636

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1568683035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 BRADDOCK RD",
            "address_2": "#9A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322248",
            "telephone_number": "703-323-4626",
            "fax_number": "703-323-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 BRADDOCK RD",
            "address_2": "#9A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322248",
            "telephone_number": "703-323-4626",
            "fax_number": "703-323-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANGVAL",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412047",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Hand, MD
• Grace Beshara Handal, PHARMD
• Hands of Mercy Group Home LLC
• Steven Jay Handwerger
• Lavell Tyre Handy, DC
• Kelly Ann Hanik, MOTR/L
• Lori Hanline, AU.D.
• Laurel Hanlon, MSW
• Isabella Noura Hanna, COTA
• Justin Connor Hanna, PA-C

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.