Nour Gowharji, BDS,DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401416169 Issued in VA

Practice address

13350 Franklin Farm Rd
Herndon, VA 20171-4091

Phone

(517) 549-8011

NPI assigned

Jun 16, 2015

Last updated

Apr 24, 2021By 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

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1902287915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 FRANKLIN FARM RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714091",
            "telephone_number": "571-549-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 FRANKLIN FARM RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714091",
            "telephone_number": "517-549-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 kneeland street, Tufts school of dental medicine.",
            "address_2": "8th floor , room 842",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02111",
            "country_code": "US",
            "telephone_number": "617-636-6971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOWHARJI",
        "first_name": "NOUR",
        "name_prefix": "Dr.",
        "credential": "BDS,DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DF11038",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401416169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Goodwin, PSY.D.
• Krystle Gore, BCBA
• Zephanie Gore
• Tracy Goss, MS, CCC-SLP
• George Gotsiridze, DMD
• Gracewell Inc
• Brenda Graciano
• Marcos A Grande, DDS
• Laura Grandy, MSW
• Colin Nicholas Grant, O.D,

• Pediatric Dentistry in Herndon, VA
• Providers in Herndon, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.