Individual provider Active NPI

Romina Yaraei Shahmirzadi

  • Dentist
  • Washington, DC
National Provider Identifier
1720876758
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN2001553 Issued in DC
Practice address
6428 Georgia Ave NW
Washington, DC 20012-2910
Phone
(803) 371-2963
NPI assigned
Apr 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN2001553 DC Primary

Addresses

Primary practice location

6428 Georgia Ave NW
Washington, DC 20012-2910

Mailing address

10 Westedge St Unit 527
Charleston, SC 29403-6919
Phone (803) 371-2963

Other practice location 1

1553 Alabama Ave SE
Washington, DC 20032-5054
Phone (803) 371-2963

Other practice location 2

3925 Minnesota Ave NE
Washington, DC 20019-2662
Phone (803) 371-2963

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
DEN2001553DCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1720876758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WESTEDGE ST UNIT 527",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294036919",
            "telephone_number": "803-371-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122910",
            "telephone_number": "803-371-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1553 Alabama Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200325054",
            "country_code": "US",
            "telephone_number": "803-371-2963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3925 Minnesota Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200192662",
            "country_code": "US",
            "telephone_number": "803-371-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARAEI SHAHMIRZADI",
        "first_name": "ROMINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN2001553",
            "primary": true
        }
    ],
    "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 Jun 25, 2025; 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.