Individual provider Active NPI

Dariush Mostaghim, DDS MS

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1689782856
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4637 Issued in DC
Practice address
2112 F Street NW
Suite 304
Washington, DC 20037-2755
Phone
(202) 785-1999
Fax
(202) 785-1948
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN4637 DC Primary
General Practice Dentistry 1223G0001X 0401008168 VA

Addresses

Primary practice location

2112 F Street NW
Suite 304
Washington, DC 20037-2755

Mailing address

47330 Vista Court
Potomac Falls, VA 20165-7619
Phone (703) 404-0788

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DEN4637DCMDGeneral Practice Dentistry
0401008168VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689782856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47330 VISTA COURT",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201657619",
            "telephone_number": "703-404-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F STREET NW",
            "address_2": "SUITE 304",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372755",
            "telephone_number": "202-785-1999",
            "fax_number": "202-785-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAGHIM",
        "first_name": "DARIUSH",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN4637",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008168",
            "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 Mar 7, 2023; 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.