Individual provider Active NPI

Bahram Eshraghi

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1699907147
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1000840 Issued in DC
Practice address
1613 Harvard St NW Ste 108
Washington, DC 20009-3710
Phone
(202) 462-5227
Fax
(202) 462-7445
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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 DEN1000840 DC Primary
General Practice Dentistry 1223G0001X 0401412512 VA

Addresses

Primary practice location

1613 Harvard St NW Ste 108
Washington, DC 20009-3710

Mailing address

1613 Harvard St NW Ste 108
Washington, DC 20009-3710
Phone (202) 462-5227

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

LicenseStateTypeSpecialty
DEN1000840DCMDGeneral Practice Dentistry
0401412512VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sharmin Dental Clinic, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1699907147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARVARD ST NW STE 108",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093710",
            "telephone_number": "202-462-5227",
            "fax_number": "202-462-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HARVARD ST NW STE 108",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093710",
            "telephone_number": "202-462-5227",
            "fax_number": "202-462-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHRAGHI",
        "first_name": "BAHRAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000840",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412512",
            "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 18, 2009; 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.