Active NPI
Jason F Favagehi DDS PC
- Dentist
- Arlington, VA
National Provider Identifier
1811040561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401007352
- Legal business name
- JASON F FAVAGEHI DDS PC
- Practice address
- 1000 Wilson Blvd
Suite M745
Arlington, VA 22209 - Phone
- (703) 527-6453
- Fax
- (703) 527-8643
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Farr Favagehi, DDS
- Title
- Owner
- Phone
- (703) 356-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401007352 | VA | Primary |
Addresses
Primary practice location
1000 Wilson Blvd
Suite M745
Arlington, VA 22209
Mailing address
1000 Wilson Blvd
Suite M745
Arlington, VA 22209
Phone (703) 527-6453
Other names 1
- Rosslyn Dental Art Center
National Provider Directory
National Provider DirectoryLocations
1000 Wilson Blvd
Ste M745
Arlington, VA 22209
Phone (703) 527-6453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811040561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WILSON BLVD",
"address_2": "SUITE M745",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22209",
"telephone_number": "703-527-6453",
"fax_number": "703-527-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WILSON BLVD",
"address_2": "SUITE M745",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22209",
"telephone_number": "703-527-6453",
"fax_number": "703-527-8643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON F FAVAGEHI DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAVAGEHI",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "FARR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-356-1200",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "VA",
"license": "0401007352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosslyn Dental Art Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.