Individual provider Active NPI

Behnaz Movahed-Ardakani, D.D.S

  • General Practice Dentistry
  • Glen Allen, VA
National Provider Identifier
1922584374
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416085 Issued in VA
Practice address
5231 Hickory Park Dr Ste E
Glen Allen, VA 23059-2619
Phone
(804) 290-8001
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416085 VA Primary

Addresses

Primary practice location

5231 Hickory Park Dr Ste E
Glen Allen, VA 23059-2619

Mailing address

9009 Tarrytown Dr
Henrico, VA 23229-7080
Phone (804) 938-5450

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

LicenseStateTypeSpecialty
0401416085VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bos Dental PLLC Current Accepting new patients
Shahreyar Sean Sayyar,DDS,PC Past Accepting new patients
Southside Dental Cares, PC PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 3

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1922584374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 TARRYTOWN DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232297080",
            "telephone_number": "804-938-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 HICKORY PARK DR STE E",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592619",
            "telephone_number": "804-290-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVAHED-ARDAKANI",
        "first_name": "BEHNAZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.