Individual provider Active NPI

Marjan Salari, DDS, MS

  • Prosthodontics
  • Annandale, VA
National Provider Identifier
1790061695
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401413362 Issued in VA
Practice address
6960G Bradlick Shopping Ctr # G
Annandale, VA 22003-7227
Phone
(703) 763-0800
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0401413362 VA Primary

Addresses

Primary practice location

6960G Bradlick Shopping Ctr # G
Annandale, VA 22003-7227

Mailing address

9455 Deramus Farm CT
Vienna, VA 22182-1499
Phone (240) 441-2376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20150722006149 VA Order and Referring Only - DentistPractitioner - Dentist 8224341011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Marjan Salari DDS PLLC CurrentSince Aug 2, 2020 Accepting new patients

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1790061695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 DERAMUS FARM CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821499",
            "telephone_number": "240-441-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960G BRADLICK SHOPPING CTR # G",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037227",
            "telephone_number": "703-763-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALARI",
        "first_name": "MARJAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401413362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.