South Riding Modern Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH RIDING MODERN DENTISTRY, PC

Doing business as

South Riding Modern Dentistry

Practice address

25421 Lizzio Center Dr.
Suite 190
Chantilly, VA 20152

Phone

(703) 543-3724

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Alex R Sharifian, DDS

Title

Owner/DDS

Phone

(703) 543-9724

Specialties & licenses 1

Addresses

Other names 1

• South Riding Modern Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharmin Rahman, DMD

  • Dentist
  • Alexandria, VA
  • NPI 1295465789
  NPD (past)

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1982178620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25421 LIZZIO CENTER DR.",
            "address_2": "SUITE 190",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20152",
            "telephone_number": "703-543-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RIDING MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "SHARIFIAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "703-543-9724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Riding Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Solt
• Scott Song, OD
• Rafael Angel Soriano Sr., MSN, ARNP - FNP
• Ramsey Peter Sosola, BT
• South Riding Family Chiropractic Center
• South Riding Oral and Implant Surgery
• Samantha L Sova, PT, DPT
• Wendy Pampam Sowah, RN
• Spectrum Learning
• Stephen Spiker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.