Individual provider Active NPI

Sanaz L Vahid, D.D.S

  • Periodontics
  • Bethesda, MD
National Provider Identifier
1710362629
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
16370 Issued in MD
Practice address
4825 Bethesda Ave Ste 310
Bethesda, MD 20814-5245
Phone
(301) 654-7070
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 16370 MD Primary
Dentist 122300000X 0401414610 VA

Addresses

Primary practice location

4825 Bethesda Ave Ste 310
Bethesda, MD 20814-5245

Mailing address

7131 Arlington Rd Apt 249
Bethesda, MD 20814-2964
Phone (703) 655-5594

Other practice location 1

1035 Sterling Rd Ste 204
Herndon, VA 20170-3838
Phone (703) 471-8080

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
0401414610VAMDDentist
16370MDMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dulles Dental Center, P.C. Past Accepting new patients
Center for Oral & Facial Enhancement, Inc Past Accepting new patients

Organizations & group practices 2

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1710362629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 ARLINGTON RD APT 249",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142964",
            "telephone_number": "703-655-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 BETHESDA AVE STE 310",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145245",
            "telephone_number": "301-654-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Sterling Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201703838",
            "country_code": "US",
            "telephone_number": "703-471-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHID",
        "first_name": "SANAZ",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "16370",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.