NPIMap

Organization Active NPI

Sherry Anoushfar D D S P C

  • Dentist
  • Vienna, VA
National Provider Identifier
1629492871
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7484 Issued in VA
Legal business name
SHERRY ANOUSHFAR D D S P C
Practice address
133 Maple Ave E
206
Vienna, VA 22180-5741
Phone
(703) 319-9880
Fax
(703) 319-9985
NPI assigned
Feb 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Dr. Mohsen Izadi, D.D.S.NPI 1083829444
Title
Doctor
Phone
(703) 319-9880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7484 VA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

133 Maple Ave E
206
Vienna, VA 22180-5741

Mailing address

133 Maple Ave E
Suite 206
Vienna, VA 22180-5741
Phone (703) 319-9880

National Provider Directory

National Provider Directory

Locations

133 Maple Ave E
Ste 206
Vienna, VA 22180
Phone (703) 319-9880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1629492871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MAPLE AVE E",
            "address_2": "SUITE 206",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805741",
            "telephone_number": "703-319-9880",
            "fax_number": "703-319-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MAPLE AVE E",
            "address_2": "206",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805741",
            "telephone_number": "703-319-9880",
            "fax_number": "703-319-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY ANOUSHFAR D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-08",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "IZADI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-319-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "7484",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.