Sunna Bashir, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401417578 Issued in VA

Practice address

9901 Fairfax Blvd
Fairfax, VA 22030-1740

Phone

(703) 348-4216

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

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

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1669049722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 KNOLLS POND LN",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391654",
            "telephone_number": "703-463-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 FAIRFAX BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301740",
            "telephone_number": "703-348-4216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24805 Pinebrook Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201524127",
            "country_code": "US",
            "telephone_number": "703-688-3472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Brandon Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221502504",
            "country_code": "US",
            "telephone_number": "703-520-5695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "SUNNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS043199",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401417578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Ann Bartlett, L.P.C
• Jane Blair Bartlett, NP
• Abria Sierra Bartow
• Marie Angelique Eugenie Basauri Flores, VA
• Baseline Medical Group, P C
• Alleah Basic
• John Joseph Basile, M.D.
• Margaret Basiliadis, DO
• Ankus Basnet
• Grace F Bass, OTR/L

• Pediatric Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.