Neda Etessam, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401410040 Issued in VA

Practice address

1401 Chain Bridge Rd Ste 301
McLean, VA 22101-3882

Phone

(703) 821-1633

Fax

(703) 827-7750

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fred F Farahi,DDS,PC

  • Dentist
  • McLean, VA
  • NPI 1659406452
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811022981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHAIN BRIDGE RD STE 301",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013882",
            "telephone_number": "703-821-1633",
            "fax_number": "703-827-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CHAIN BRIDGE RD STE 301",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013882",
            "telephone_number": "703-821-1633",
            "fax_number": "703-827-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETESSAM",
        "first_name": "NEDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmonds Optician of McLean Inc.
• Brian Egan, MD
• Nasrin Ejtemaee, M.D.
• John Robert Eklund, RPH
• Lisa O. Elkin, PSY.D.
• Ilene R. Evanter, L.C.S.N., B.C.D.
• Eye Physicians of Virginia, LTD.
• Fredrick F Farahi, DDS
• Charles M Ferrara, DDS
• Nina M Fisher, MD

• Pediatric Dentistry in McLean, VA
• Providers in McLean, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.