Active NPI
Shinjni Razdan, DDS
- Pediatric Dentistry
- Falls Church, VA
National Provider Identifier
1710324033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401414405
- Practice address
- 2843 Hartland Rd
Suite 200
Falls Church, VA 22043-3535 - Phone
- (703) 849-1300
- NPI assigned
- May 28, 2013
- Last updated
- Aug 18, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401414405 | VA | Primary |
Addresses
Primary practice location
2843 Hartland Rd
Suite 200
Falls Church, VA 22043-3535
Mailing address
2843 Hartland Rd
Suite 200
Falls Church, VA 22043-3535
Phone (703) 849-1300
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 |
|---|---|---|---|
| 0401414405 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1710324033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2843 HARTLAND RD",
"address_2": "SUITE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220433535",
"telephone_number": "703-849-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2843 HARTLAND RD",
"address_2": "SUITE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220433535",
"telephone_number": "703-849-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZDAN",
"first_name": "SHINJNI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401414405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.