Individual provider Active NPI

Hamid Ahmadi Avin, DDS

  • General Practice Dentistry
  • Sterling, VA
National Provider Identifier
1982751889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401102678 Issued in VA
Practice address
47100 Community PLZ
Suite 165
Sterling, VA 20164-1826
Phone
(703) 444-5222
Fax
(703) 444-1611
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0401102678 VA Primary

Addresses

Primary practice location

47100 Community PLZ
Suite 165
Sterling, VA 20164-1826

Mailing address

47100 Community PLZ
Suite 165
Sterling, VA 20164-1826
Phone (703) 444-5222

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
0401102678VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hamid Ahmadi Avin DDS PC General Practice 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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982751889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47100 COMMUNITY PLZ",
            "address_2": "SUITE 165",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641826",
            "telephone_number": "703-444-5222",
            "fax_number": "703-444-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47100 COMMUNITY PLZ",
            "address_2": "SUITE 165",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641826",
            "telephone_number": "703-444-5222",
            "fax_number": "703-444-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIN",
        "first_name": "HAMID",
        "middle_name": "AHMADI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401102678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.