Active NPI
Rabee Itmaiza, DDS
- Dentist
- Falls Church, VA
National Provider Identifier
1780358606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401417606
- Practice address
- 3701 S George Mason Dr Unit C7N
Falls Church, VA 22041-4722 - Phone
- (703) 998-8826
- Fax
- (703) 998-8828
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401417606 | VA | Primary |
Addresses
Primary practice location
3701 S George Mason Dr Unit C7N
Falls Church, VA 22041-4722
Mailing address
1040 Dulaney Mill Dr
Frederick, MD 21702-6227
Phone (240) 409-5010
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 |
|---|---|---|---|
| 0401417606 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1780358606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 DULANEY MILL DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217026227",
"telephone_number": "240-409-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S GEORGE MASON DR UNIT C7N",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220414722",
"telephone_number": "703-998-8826",
"fax_number": "703-998-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITMAIZA",
"first_name": "RABEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.