1609081066 NPI number — DR. SCHEHERAZAD SHERRY ANOUSHFAR DDS

Table of content: DR. SCHEHERAZAD SHERRY ANOUSHFAR DDS (NPI 1609081066)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609081066 NPI number — DR. SCHEHERAZAD SHERRY ANOUSHFAR DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANOUSHFAR
Provider First Name:
SCHEHERAZAD
Provider Middle Name:
SHERRY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ANOUSHFAR
Provider Other First Name:
SHERRY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1609081066
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/14/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
133 MAPLE AVE E STE 206
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIENNA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22180-5780
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-319-9880
Provider Business Mailing Address Fax Number:
703-319-9885

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
133 MAPLE AVE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIENNA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22180-5741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-319-9880
Provider Business Practice Location Address Fax Number:
703-319-9885
Provider Enumeration Date:
05/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  7728 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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