NPIMap

Organization Active NPI

Mazin Alayssami, DMD & Associates PC

  • General Practice Dentistry
  • Herndon, VA
National Provider Identifier
1861559171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8416 Issued in VA
Legal business name
MAZIN ALAYSSAMI, DMD & ASSOCIATES PC
Practice address
13873 Park Center Rd
Herndon, VA 20171-3223
Phone
(703) 478-0115
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mazin AlayssamiNPI 1598822371
Title
Owner
Phone
(703) 478-0115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8416 VA Primary

Addresses

Primary practice location

13873 Park Center Rd
Herndon, VA 20171-3223

Mailing address

13873 Park Center Rd
Herndon, VA 20171-3223
Phone (703) 478-0115

National Provider Directory

National Provider Directory
Tax ID family
Hima Reddy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13873 Park Center Rd
Herndon, VA 20171
Phone (703) 225-9365

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861559171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13873 PARK CENTER RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713223",
            "telephone_number": "703-478-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13873 PARK CENTER RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713223",
            "telephone_number": "703-478-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZIN ALAYSSAMI, DMD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALAYSSAMI",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-478-0115"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "8416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, 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.

Verify at the official NPI Registry.