Mahboubeh Sahrai, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN1001446 Issued in DC

Practice address

2600 Virginia Ave NW Ste 501
Washington, DC 20037

Phone

(202) 922-2900

Fax

(202) 922-2900

NPI assigned

Jan 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Blossom Dentistry PLLC

  • General Practice Dentistry
  • Washington, DC
  • NPI 1336788926
  NPD Authorized official

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1740679455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 4TH ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073801",
            "telephone_number": "301-725-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE 501",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037",
            "telephone_number": "202-922-2900",
            "fax_number": "202-922-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 4th St",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207073801",
            "country_code": "US",
            "telephone_number": "301-725-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHRAI",
        "first_name": "MAHBOUBEH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001446",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@blossomdentistrydc.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2600 Virginia Ave NW Ste 501",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "20037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amesale G. Sahle
• Firhiwot M Sahle
• Emebet Assefa Sahlu
• Tamanna Sahni, MD
• Solmaz Sahraeyan, PHARM.D.
• Sai N Kham DMD PLLC
• Lorette Saibou
• Aminat Said, HHA
• Hanae Said
• Hoda Said, DEN1000413

• All providers in Washington, DC
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.