Mujahida Mahmoodi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401417640 Issued in VA

Practice address

50 Dunn Dr Ste 105
Stafford, VA 22556-1500

Phone

(571) 242-0162

NPI assigned

May 10, 2021

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aria Dental Spa, LLC

  • Dentist
  • Stafford, VA
  • NPI 1356164214
  NPD Authorized official

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1689258220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DUNN DR STE 105",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561500",
            "telephone_number": "571-242-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DUNN DR STE 105",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561500",
            "telephone_number": "571-242-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOODI",
        "first_name": "MUJAHIDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN2000061",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417640",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nana A Mac Lomotey, RBT
• Alysha Macarz, RN
• Mark J Macedon, MD
• Emma Mary Machi
• Wassiah Melodie Mahi
• Maryam Mahmoudzadeh
• Tatyana Maizel, M.A.,LPC, NCC, CCTP
• Brianna Major
• Paul James Makin
• Tasha Yi Malachi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.