Active NPI
Mostafa Maghzian
- Durable Medical Equipment & Medical Supplies
- Oakton, VA
National Provider Identifier
1770899361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1036982
- Practice address
- 2930 Chain Bridge Rd
Suite 111
Oakton, VA 22124 - Phone
- (703) 319-7972
- Fax
- (703) 319-3903
- NPI assigned
- Aug 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1036982 | VA | Primary |
Addresses
Primary practice location
2930 Chain Bridge Rd
Suite 111
Oakton, VA 22124
Mailing address
2930 Chain Bridge Rd
Suite 111
Oakton, VA 22124-3041
Phone (703) 319-7972
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 |
|---|---|---|---|
| 1036982 | VA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1770899361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 CHAIN BRIDGE RD",
"address_2": "SUITE 111",
"city": "OAKTON",
"state": "VA",
"postal_code": "221243041",
"telephone_number": "703-319-7972",
"fax_number": "703-319-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 CHAIN BRIDGE RD",
"address_2": "SUITE 111",
"city": "OAKTON",
"state": "VA",
"postal_code": "22124",
"telephone_number": "703-319-7972",
"fax_number": "703-319-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGHZIAN",
"first_name": "MOSTAFA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "1036982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.