NPIMap

Organization Active NPI

Shahram Sabet DDS, PC

  • Dentist
  • Vienna, VA
National Provider Identifier
1760675797
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410366 Issued in VA
Legal business name
SHAHRAM SABET DDS, PC
Practice address
360 Maple Ave W Ste C
Vienna, VA 22180-5614
Phone
(703) 281-1311
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. Shahram Sabet, DDSNPI 1659587152
Title
President
Phone
(703) 281-1311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401410366 VA Primary

Addresses

Primary practice location

360 Maple Ave W Ste C
Vienna, VA 22180-5614

Mailing address

360 Maple Ave W Ste C
Vienna, VA 22180-5614
Phone (703) 281-1311

National Provider Directory

National Provider Directory

Locations

360 Maple Ave W
Ste C
Vienna, VA 22180
Phone (703) 281-1311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1760675797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MAPLE AVE W STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805614",
            "telephone_number": "703-281-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAPLE AVE W STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805614",
            "telephone_number": "703-281-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRAM SABET DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "SABET",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-281-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.