Organization Active NPI

Elham Safari D.D.S., P.C.

  • General Practice Dentistry
  • Herndon, VA
National Provider Identifier
1972799922
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410994 Issued in VA
Legal business name
ELHAM SAFARI D.D.S., P.C.
Practice address
555 Grove St
Suite 108
Herndon, VA 20170-4705
Phone
(703) 787-7778
Fax
(571) 203-1390
NPI assigned
Sep 23, 2007
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Elham Safari, D.D.S.NPI 1013065291
Title
Owner
Phone
(703) 787-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410994 VA Primary

Addresses

Primary practice location

555 Grove St
Suite 108
Herndon, VA 20170-4705

Mailing address

555 Grove St
Suite 108
Herndon, VA 20170-4705
Phone (703) 787-7778

Other names 1

  • Herndon Family and Cosmetic Dentistry Other name

National Provider Directory

National Provider Directory

Locations

555 Grove St
Ste 108
Herndon, VA 20170
Phone (703) 787-7778

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1972799922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 GROVE ST",
            "address_2": "SUITE 108",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704705",
            "telephone_number": "703-787-7778",
            "fax_number": "571-203-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 GROVE ST",
            "address_2": "SUITE 108",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704705",
            "telephone_number": "703-787-7778",
            "fax_number": "571-203-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELHAM SAFARI D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SAFARI",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-787-7778",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herndon Family and Cosmetic Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.