Individual provider Active NPI

Leila Nikpour, DDS

  • Prosthodontics
  • Warrenton, VA
National Provider Identifier
1003456989
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401416803 Issued in VA
Practice address
251 W Lee Hwy Ste 197
Warrenton, VA 20186-2047
Phone
(540) 347-9364
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0401416803 VA Primary

Addresses

Primary practice location

251 W Lee Hwy Ste 197
Warrenton, VA 20186-2047

Mailing address

5865 Trinity Pkwy Apt 335
Centreville, VA 20120-2445

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Leila_nikpour@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416803VAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Neibauer Dental Care, PC PastSince Jan 12, 2020 Accepting new patients
Neibauer Dental Care Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1003456989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 TRINITY PKWY APT 335",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W LEE HWY STE 197",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862047",
            "telephone_number": "540-347-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKPOUR",
        "first_name": "LEILA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401416803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Leila_nikpour@yahoo.com",
            "affiliation": "N",
            "address_1": "251 W Lee Hwy Ste 197",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201862047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.