Active NPI
Rahat Aziz
- Dentist
- Woodbridge, VA
National Provider Identifier
1578051629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401416752
- Practice address
- 1392 Old Bridge Rd
Woodbridge, VA 22192-2708 - Phone
- (703) 490-9094
- Fax
- (703) 490-9096
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 0401416752 | VA | Primary |
Addresses
Primary practice location
1392 Old Bridge Rd
Woodbridge, VA 22192-2708
Mailing address
2982 Birch Creek CT
Dumfries, VA 22026-3383
Phone (571) 340-6824
Other practice location 1
110 Bergen St
Newark, NJ 07103-2495
Phone (571) 340-6824
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 |
|---|---|---|---|
| 0401416752 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Dental | Current | Accepting new patients | |
| Occoquan Family & Cosmetic Dentistry | Dentist | Past | Accepting new patients |
Locations
8230 Leesburg Pike
Ste 730
Vienna, VA 22182
Phone (571) 379-3103
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Vienna, VA
- NPI 1881455947
-
- Dentist
- Woodbridge, VA
- NPI 1700172749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1578051629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2982 BIRCH CREEK CT",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220263383",
"telephone_number": "571-340-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1392 OLD BRIDGE RD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922708",
"telephone_number": "703-490-9094",
"fax_number": "703-490-9096"
}
],
"practiceLocations": [
{
"address_1": "110 Bergen St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032495",
"country_code": "US",
"telephone_number": "571-340-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AZIZ",
"first_name": "RAHAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.