Organization Active NPI

Nader Rezvani D.D.S., P.C.

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1679631980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4636 Issued in DC
Legal business name
NADER REZVANI D.D.S., P.C.
Practice address
908 New Hampshire Ave NW
Suite 301
Washington, DC 20037-2346
Phone
(202) 457-0070
Fax
(202) 457-0029
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nader Rezvani, D.D.S.NPI 1205909652
Title
President
Phone
(202) 457-0070

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DEN4636 DC Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401008527 VA

Addresses

Primary practice location

908 New Hampshire Ave NW
Suite 301
Washington, DC 20037-2346

Mailing address

908 New Hampshire Ave NW
Suite 301
Washington, DC 20037-2346
Phone (202) 457-0070

National Provider Directory

National Provider Directory

Locations

908 New Hampshire Ave NW
Ste 301
Washington, DC 20037
Phone (202) 457-0070

Practitioners & affiliated clinicians

Practitioners 1

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679631980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NEW HAMPSHIRE AVE NW",
            "address_2": "SUITE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372346",
            "telephone_number": "202-457-0070",
            "fax_number": "202-457-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NEW HAMPSHIRE AVE NW",
            "address_2": "SUITE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372346",
            "telephone_number": "202-457-0070",
            "fax_number": "202-457-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER REZVANI D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REZVANI",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-457-0070",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN4636",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

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

Verify at the official NPI Registry.