Kiumars Karbasi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401414080 Issued in VA

Practice address

11300 Seneca View Way
Great Falls, VA 22066-1422

Phone

(571) 335-6195

NPI assigned

Dec 20, 2010

Last updated

Jul 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Lake Ridge Dental Care

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1295151579
  NPD (past) Authorized official
• Dental Professionals of Virginia, P.C

  dba Lake Ridge Dental Care

  • Student in an Organized Health Care Education/Training Program
  • Woodbridge, VA
  • NPI 1942941117
  NPD (past)

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1033412697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202913",
            "telephone_number": "585-275-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 SENECA VIEW WAY",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661422",
            "telephone_number": "571-335-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBASI",
        "first_name": "KIUMARS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataliya A Iakovleva
• Vinod Kumar Indupuru
• Talleree Nichole Joebgen, D.C.
• Sejla Jukic
• Perry Purshottam Kaneriya, MD
• Aras Frank Kay, M.D.
• Jordan Kfoury
• Suk Kew Kim, M.D.
• Kind Nest Academy LLC
• Kelsey Krause, PT, DPT

• General Practice Dentistry in Great Falls, VA
• Providers in Great Falls, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.