Individual provider Active NPI

Shahrzad Salartash, D.D.S

  • General Practice Dentistry
  • Ashburn, VA
National Provider Identifier
1659501039
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412490 Issued in VA
Practice address
20755 Williamsport PL Ste 300
Ashburn, VA 20147-6524
Phone
(703) 775-0002
Fax
(540) 900-4747
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 066988NP
General Practice Dentistry 1223G0001X 0401412490 VA Primary

Addresses

Primary practice location

20755 Williamsport PL Ste 300
Ashburn, VA 20147-6524

Mailing address

20755 Williamsport PL Ste 300
Ashburn, VA 20147-6524
Phone (703) 775-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20200512000025 DC Order and Referring Only - DentistPractitioner - Dentist 7416213707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delray Prosthodontics Center General Practice PastSince Dec 21, 2021 Accepting new patients
Dental Excellence PC PastSince Jan 27, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1659501039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 WILLIAMSPORT PL STE 300",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476524",
            "telephone_number": "703-775-0002",
            "fax_number": "540-900-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 WILLIAMSPORT PL STE 300",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476524",
            "telephone_number": "703-775-0002",
            "fax_number": "540-900-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALARTASH",
        "first_name": "SHAHRZAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": "066988NP",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.