Babak Razmazma DDS Inc

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

0401415377 Issued in VA

Legal business name

BABAK RAZMAZMA DDS INC

Practice address

11654 Plaza America Dr
163
Reston, VA 20190-4700

Phone

(818) 822-2278

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Babak Razmazma, DDS

Title

Owner

Phone

(818) 822-2278

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1881134005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11654 PLAZA AMERICA DR",
            "address_2": "163",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11654 PLAZA AMERICA DR",
            "address_2": "163",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904700",
            "telephone_number": "818-822-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK RAZMAZMA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "RAZMAZMA",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-822-2278",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "VA",
            "license": "0401415377",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "DC",
            "license": "DEN1001688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Axelrad, M.D.
• Cara Aylor
• Huda Ayoubi, OTR
• Farhad NMN Azimi, MD
• Hewad Sayed Azizi, DC
• Ario Babolian, M.D.
• Georgia Bachman, LCSW
• Alexander Back, DMD
• Sarah Patricia Baddour, DPT
• Sami Badri, M.D.

• Dental Anesthesiology in Reston, VA
• Providers in Reston, VA by specialty
• Dental Anesthesiology in Virginia

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

Verify at the official NPI Registry.