DR. BABAK RAZMAZMA (NPI# 1689839409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689839409 |
| Entity Type | Individual |
| Full Name | DR. BABAK RAZMAZMA |
| Credential | DDS |
| Practice Address |
11654 Plaza America Dr # 163 Reston VA 20190-4700 |
| Practice Telephone | 8188222278 |
| Mailing Telephone | 8188222278 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2016-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 0401415377 | VA | Dental Providers |
| N | 122300000X | Dentist | 57316 | CA | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
0447000074 | VA | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
57316 | CA | Dental Providers |
| Street Address |
11654 PLAZA AMERICA DR # 163 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881134005 | Babak Razmazma Dds Inc | Dentist | 11654 Plaza America Dr, 163, Reston, VA 20190-4700 | 2017-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255101 | John T. Will, Dds, Pllc | Dentist | 4545 Riverside Dr Ste C, Danville, VA 24541-5173 | 2020-01-29 |
| 1063971281 | Premier Dental Group Pllc | Dentist | 9420 Forestwood Ln Ste 201, Manassas, VA 20110-4758 | 2019-03-18 |
| 1831629419 | Hampton Roads Anesthesia & Dentistry, Pllc | Dentist | 1206 Laskin Rd Ste 140, Virginia Beach, VA 23451-5267 | 2017-06-15 |
| 1215382262 | Avanti Specialty Pllc | Dentist | 1500 Cornerside Blvd Ste 500, Tysons Corner, VA 22182-2440 | 2016-04-27 |
| 1700142148 | Mitesh B Gandhi | Dentist | 364 Lowes Dr Ste J, Danville, VA 24540-5930 | 2012-04-10 |
| 1689295586 | Jim Ervil | Dentist | 3824 Mechanicsville Tpke, Richmond, VA 23223-1114 | 2020-05-01 |
| 1437534708 | Commonwealth Dental Anesthesia Associates PC | Dentist | 1101 Haxall Pt, Unit 1004, Richmond, VA 23219-3941 | 2015-07-28 |
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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.