Sara Shambayati, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401412348 Issued in VA

Practice address

8294 Old Courthouse Rd Ste C
Vienna, VA 22182-3871

Phone

(703) 992-7202

NPI assigned

May 14, 2008

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Mojdeh Vessali Family Dentistry

  • General Practice Dentistry
  • Herndon, VA
  • NPI 1942742861
  NPD (past)
• Sleep Serenity Device , LLC

  dba dentist

  • Dental Clinic/Center
  • Herndon, VA
  • NPI 1881571859
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1841467305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8294 OLD COURTHOUSE RD STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823871",
            "telephone_number": "703-992-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8294 OLD COURTHOUSE RD STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823871",
            "telephone_number": "703-992-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBAYATI",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "048771",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401412348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shohreh Shahram, DDS
• Kayvan Shahrzad, DMD
• Ismaiel Shaikh
• Shahla Shakeri
• Ahmad Zafar Shakibi
• Shanghai Chinese Medicine Clinic
• Andrew Jason Shannon, D.M.D.
• Antonio Shapiama
• Mustafa Sharieff
• Lily K Sharifzadeh-Nadimi, D.D.S., D.M.D.

• Endodontics in Vienna, VA
• Providers in Vienna, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.