Active NPI
Lily K Sharifzadeh-Nadimi, D.D.S., D.M.D.
- General Practice Dentistry
- Vienna, VA
National Provider Identifier
1689701922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7429
- Practice address
- 8212 Old Courthouse Rd
Vienna, VA 22182-3821 - Phone
- (703) 448-0600
- Fax
- (703) 448-0602
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7429 | VA | Primary |
Addresses
Primary practice location
8212 Old Courthouse Rd
Vienna, VA 22182-3821
Mailing address
8212 Old Courthouse Rd
Vienna, VA 22182-3821
Phone (703) 848-0971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7429 | VA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689701922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8212 OLD COURTHOUSE RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823821",
"telephone_number": "703-848-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8212 OLD COURTHOUSE RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823821",
"telephone_number": "703-448-0600",
"fax_number": "703-448-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARIFZADEH-NADIMI",
"first_name": "LILY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.D.S., D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "7429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.