Mehrdad Ijadi, D.M.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

041413982 Issued in VA

Practice address

7700 Lunceford LN
Falls Church, VA 22043-1204

Phone

(917) 582-5723

NPI assigned

Jun 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1811335813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 N GLEBE RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032120",
            "telephone_number": "703-294-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LUNCEFORD LN",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431204",
            "telephone_number": "917-582-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJADI",
        "first_name": "MEHRDAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "041413982",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "041413982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea N Ihnat
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• Leonard Ilkhanoff, MD
• Saira Imaad, DDS
• Imani Holistic Counseling LLC (Tanisha Robinson)
• Impact Behavior Centers LLC

• Periodontics in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.