Individual provider Active NPI

Azita Abbasi-Hafshejani, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sterling, VA
National Provider Identifier
1780922187
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401413845 Issued in VA
Practice address
46165 Westlake Dr Ste 300
Sterling, VA 20165-5872
Phone
(703) 444-9373
Fax
(847) 496-7603
NPI assigned
Jan 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.029300 IL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401413845 VA Primary

Addresses

Primary practice location

46165 Westlake Dr Ste 300
Sterling, VA 20165-5872

Mailing address

46165 Westlake Dr Ste 300
Sterling, VA 20165-5872
Phone (703) 444-9373

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
019.029300ILMDDentist
0401413845VAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Top Nova Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Nov 29, 2020 Accepting new patients

Locations

46165 Westlake Dr
Ste 300
Sterling, VA 20165
Phone (703) 444-9373

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1780922187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "703-444-9373",
            "fax_number": "847-496-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "703-444-9373",
            "fax_number": "847-496-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASI-HAFSHEJANI",
        "first_name": "AZITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029300",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401413845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.