DR. FARANAK MAHJOUR (NPI# 1386255073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386255073 |
| Entity Type | Individual |
| Full Name | DR. FARANAK MAHJOUR |
| Credential | DDS, PHD |
| Practice Address |
11503 Sunrise Valley Dr Reston VA 20191-1505 |
| Practice Telephone | 7038603200 |
| Mailing Telephone | 6176975702 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0401417141 | VA | Dental Providers |
| Street Address |
11503 SUNRISE VALLEY DR |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043273394 | Joseph Edward Rusz Jr. | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-04-08 |
| 1952930778 | Angel A Simmons | Dental Hygienist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2020-04-03 |
| 1932272671 | Robert M Averne | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-11-17 |
| 1255403283 | Zachary A Casagrande | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-11-14 |
| 1245302272 | Haress Rahim | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-11-14 |
| 1720158975 | Kathleen G Dillon | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-11-08 |
| 1922181742 | Mark Richard Perez | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-10-23 |
| 1972697043 | Wayne Joseph Dollard | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-10-03 |
| 1295741411 | Scott Arthur Synnott | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-07-31 |
| 1487679338 | Matthew John Gramkee | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026728 | Hashim Alhassany | Dentist | 11710 Plaza America Dr Ste 150, Reston, VA 20190-4756 | 2016-07-25 |
| 1639217649 | Edward Besner | Dentist | 11359 Sunset Hills Rd, Reston, VA 20190-5275 | 2007-02-02 |
| 1457499329 | John Douglas Bramwell | Dentist | 11359 Sunset Hills Rd, Reston, VA 20190-5275 | 2007-02-02 |
| 1972697043 | Wayne Joseph Dollard | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898214 | Sally Abdelkarim | Dentist | 556 Garrisonville Rd Ste 200, Stafford, VA 22554-7826 | 2020-07-10 |
| 1225655939 | Avisha Rakesh Shah | Dentist | 3712 Old Forest Rd Ste 100, Lynchburg, VA 24501-6963 | 2020-06-29 |
| 1821621467 | Blessed Smiles | Dentist | 5249 Duke St Ste L-10, Alexandria, VA 22304-2926 | 2020-02-21 |
| 1205307238 | Ideal Endodontics of Woodbridge Pllc | Dentist | 3102 Golansky Blvd Ste 101, Woodbridge, VA 22192-4244 | 2018-12-17 |
| 1154892677 | Prince William Parkway Dental PC | Dentist | 2542 Prince William Pkwy Ste 120, Woodbridge, VA 22192-4149 | 2018-12-10 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1588143309 | Deepika Ganesh | Dentist | 2601 Swiftrun Rd, Chester, VA 23831-5234 | 2018-08-13 |
| 1134614092 | Specialist Care Endodontics LLC | Dentist | 1964 Gallows Rd Ste 220, Vienna, VA 22182-3814 | 2018-06-24 |
| 1447744131 | Fouad Almalki | Dentist | 1533 Volvo Pkwy, Chesapeake, VA 23320-8489 | 2018-06-18 |
| 1164911863 | Arlington Dental Excellence Specialists Pllc | Dentist | 3801 Fairfax Dr Ste 54, Arlington, VA 22203-1762 | 2018-05-08 |
| Find all providers with the same taxonomy | ||||
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| 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.