Amir Farhang Maghsoudi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401418475 Issued in VA

Practice address

20955 Professional PLZ Ste 110
Ashburn, VA 20147-3405

Phone

(703) 723-0014

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Reston Dental Group, PC

  dba Fusion Dental - Ashburn

  • Dentist
  • Ashburn, VA
  • NPI 1821155318
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1902590094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13981 DANCING TWIG DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551767",
            "telephone_number": "703-595-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20955 PROFESSIONAL PLZ STE 110",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473405",
            "telephone_number": "703-723-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHSOUDI",
        "first_name": "AMIR",
        "middle_name": "FARHANG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora E Mackie, MD
• Deena Macomber
• Lisa Macri, SLP
• Arlene Veronica Magarelli, LPC
• Julia Maggio, MA
• Suzan Khalil Mahmoud
• Parwaiz Mahmud
• Christine Mai, RPH
• Main Street Pharmacy, L.L.C. (CVS Pharmacy # 48570)
• Mysore Vijayendra Maitri, M.D

• Dentist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.