Isam Estwani, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ISAM ESTWANI, DDS, INC

Practice address

625 Elden St
Suite 201
Herndon, VA 20170-4738

Phone

(703) 955-4221

Fax

(703) 435-7776

NPI assigned

Nov 13, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Isam Estwani, D.D.S.NPI 1760692016

Title

President

Phone

(703) 955-4221

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Isam B Estwani, DDS

  • General Practice Dentistry
  • Herndon, VA
  • NPI 1760692016
  NPD (past) Authorized official
• Mohammad Farhad Hakimelahi, D.D.S.

  • Dentist
  • Herndon, VA
  • NPI 1548469794
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1861672370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ELDEN ST",
            "address_2": "SUITE 201",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704738",
            "telephone_number": "703-955-4221",
            "fax_number": "703-435-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ELDEN ST",
            "address_2": "SUITE 201",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704738",
            "telephone_number": "703-955-4221",
            "fax_number": "703-435-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAM ESTWANI, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "ESTWANI",
        "authorized_official_first_name": "ISAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-955-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sabita M. Ittoop, MD
• Ravi R Iyer, M.D.

• Dental Clinic/Center in Herndon, VA
• Providers in Herndon, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.