Herndon Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERNDON DENTAL CARE

Practice address

12973 Highland Crossing Dr Ste B
Herndon, VA 20171-5890

Phone

(678) 906-8367

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ayesan Hemati, DDS

Title

Prosthodontist

Phone

(678) 906-8367

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1972199420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12973 HIGHLAND CROSSING DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12973 HIGHLAND CROSSING DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715890",
            "telephone_number": "678-906-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "HEMATI",
        "authorized_official_first_name": "AYESAN",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "678-906-8367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herani LLC
• Nicole Herberger, NP
• Heather Hernandez, RBT
• Herndon Chiropractic & Acupuncture Care, PC
• Herndon Dental Arts at Woodland Park, PLLC
• Herndon Family Dental PLLC
• Herndon Pharmacy and Medical Supply Inc
• Herndon Smile Design PLLC
• Herndon Walking Smiles
• Hero Pediatric Dentistry PLLC

• General Practice Dentistry in Herndon, VA
• Providers in Herndon, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.