ELHAM DEHYAR (NPI# 1285293209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285293209 |
| Entity Type | Individual |
| Full Name | ELHAM DEHYAR |
| Practice Address |
12989 Fair Lakes Shopping Ctr Fairfax VA 22033-5177 |
| Mailing Address |
24686 Lenah Rd Aldie VA 20105-2324 |
| Practice Telephone | 7032221230 |
| Mailing Telephone | 7033321863 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 0401416546 | VA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401416546 | VA | Dental Providers |
| Street Address |
12989 FAIR LAKES SHOPPING CTR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-5177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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 |
|---|---|---|---|---|
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1194367623 | Ruhee Jaffer | Dentist | 11213 Lee Hwy Ste A, Fairfax, VA 22030-5698 | 2019-10-16 |
| 1093367310 | Gina Genevia Askander | Dentist | 2810 Old Lee Hwy Ste 200a, Fairfax, VA 22031-4376 | 2019-07-16 |
| 1609436989 | Hanwool Kim | Dentist | 8303 Arlington Blvd Ste 104, Fairfax, VA 22031-2903 | 2019-06-18 |
| 1942776182 | Sapphire Dental Pllc | Dentist | 8622 Lee Hwy, Fairfax, VA 22031-2173 | 2018-10-15 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1710496294 | Fairfax Dentistry, Pllc | Dentist | 11351 Random Hills Rd Ste 102, Fairfax, VA 22030-6081 | 2017-09-27 |
| 1558886580 | Marc Dh Eun | Dentist | 4511 Plateau Dr, Fairfax, VA 22030-6281 | 2017-08-10 |
| 1639603459 | Kouros Hedayati, Dds, Plc | Dentist | 3545 Chain Bridge Rd Ste 5, Fairfax, VA 22030-2708 | 2017-04-18 |
| Find all providers in FAIRFAX | ||||
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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.