Active NPI
Rouben A Yedigarian, D.D.S.
- Dentist
- McLean, VA
National Provider Identifier
1912110347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401005564
- Practice address
- 8371B Greensboro Dr
McLean, VA 22102-3529 - Phone
- (703) 821-0882
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0401005564 | VA | Primary |
Addresses
Primary practice location
8371B Greensboro Dr
McLean, VA 22102-3529
Mailing address
8371B Greensboro Dr
McLean, VA 22102-3529
Phone (703) 821-0882
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 |
|---|---|---|---|
| 0401005564 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rouben a Yedigarian | Dentist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1912110347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8371B GREENSBORO DR",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221023529",
"telephone_number": "703-821-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8371B GREENSBORO DR",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221023529",
"telephone_number": "703-821-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEDIGARIAN",
"first_name": "ROUBEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401005564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.