Ida Kondori, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413361 Issued in VA

Practice address

3925 Old Lee Hwy Ste 51C
Fairfax, VA 22030-2426

Phone

(703) 919-0559

NPI assigned

Oct 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Aram Afsahi, DDS, P.C.

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1548991532
  NPD

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

{
    "created_epoch": "1319932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1710263124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 FOX MILL MANOR DR",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241246",
            "telephone_number": "703-662-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 OLD LEE HWY STE 51C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302426",
            "telephone_number": "703-919-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10630 Crestwood Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201094405",
            "country_code": "US",
            "telephone_number": "540-785-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Plank Rd",
            "address_2": "Ste 230",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224070102",
            "country_code": "US",
            "telephone_number": "540-785-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDORI",
        "first_name": "IDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-30",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Kolman, PT
• Mohammad R Komaily, D.C.
• Crystal Kominar
• Aisha Amadou Konare
• Jennifer Olek Konchar, MSPT
• Kone Molecular Labs LLC
• Yoon J. Kong, PHARMD, BCGP
• Sheryl Kongstvedt, PHD
• Meagan Konkol, DPT
• Lynn A. Konnerth, SLP

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.