Ranya Ghumrawi, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

0401414528 Issued in VA

Practice address

1901 N Moore St
501
Rosslyn, VA 22209-1728

Phone

(703) 807-0808

NPI assigned

Jul 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Reza Tahernia & Associates PLLC

  dba Dental Studio at Rosslyn

  • General Practice Dentistry
  • Arlington, VA
  • NPI 1518575851
  NPD (past)

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1649687112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N MOORE ST",
            "address_2": "501",
            "city": "ROSSLYN",
            "state": "VA",
            "postal_code": "222091728",
            "telephone_number": "703-807-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MOORE ST",
            "address_2": "501",
            "city": "ROSSLYN",
            "state": "VA",
            "postal_code": "222091728",
            "telephone_number": "703-807-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHUMRAWI",
        "first_name": "RANYA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjan Adibpour
• Paul Edward Klimkowski, PAC
• Sumbel Malik
• Sayf Shehadeh
• Virginia CVS Pharmacy LLC (CVS Pharmacy #17678)

• Dentist in Rosslyn, VA
• Providers in Rosslyn, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.