AVANTI SPECIALTY PLLC (NPI# 1215382262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215382262 |
| Entity Type | Organization |
| Organization Name | AVANTI SPECIALTY PLLC |
| Practice Address |
1500 Cornerside Blvd Ste 500 Tysons Corner VA 22182-2440 |
| Practice Telephone | 7036256229 |
| Practice Fax Number | 7038210692 |
| Mailing Telephone | 7036256229 |
| Mailing Fax Number | 7038210692 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | DR. FARSHAD FARHOUMAND (OWNER) |
| Authorized Official Telephone | 7036256229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
0438000311 | VA | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
0401411183 | VA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
0401412973 | VA | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
0401414238 | VA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0438000311 | VA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401413394 | VA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401413955 | VA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401004998 | VA | Dental Providers |
| Street Address |
1500 CORNERSIDE BLVD STE 500 |
| City | TYSONS CORNER |
| State | VA |
| Zip Code | 22182-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548305170 | Farshad Farhoumand | Dentist | 1500 Cornerside Blvd, Suite 500, Tysons Corner, VA 22182-2433 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
| 1548877194 | Vishakha N Devrukhkar | Dentist | 4011 Wards Rd Ste A, Lynchburg, VA 24502-2943 | 2020-09-28 |
| 1477160547 | Modaresi & Avin Dds Pllc | Dentist | 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 | 2020-09-23 |
| 1215549654 | Alan Ostrovsky | Dentist | 9225 Doerr Rd # 1220, Fort Belvoir, VA 22060-2204 | 2020-08-18 |
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1336758382 | Chitti Mengji | Dentist | 3441 Kilburn Cir Apt 618, Henrico, VA 23233-1137 | 2020-07-27 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1467060996 | Daniel Kuyk | Dentist | 616 Campus Dr Ste 100, Abingdon, VA 24210-9706 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | TYSONS CORNER |
| Zip Code | 22182 |
Please comment or provide details below to improve the information on AVANTI SPECIALTY PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.