Active NPI
Alireza Sharafi, D.D.S
- Dentist
- Alexandria, VA
National Provider Identifier
1871651935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412044
- Practice address
- 6354 Walker LN
Suite 103
Alexandria, VA 22310-3229 - Phone
- (703) 417-9722
- NPI assigned
- Dec 4, 2006
- Last updated
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401412044 | VA | Primary |
Addresses
Primary practice location
6354 Walker LN
Suite 103
Alexandria, VA 22310-3229
Mailing address
1836 Pimmit Dr
Falls Church, VA 22043-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412044 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alireza Sharafi DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1871651935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 PIMMIT DR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220431105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6354 WALKER LN",
"address_2": "SUITE 103",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103229",
"telephone_number": "703-417-9722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARAFI",
"first_name": "ALIREZA",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.