Kiumars Karbasi, DDS
Individual provider Active NPI General Practice Dentistry · Great Falls, VA
NPI 1033412697 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1033412697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401414080 (VA)
- Practice address
- 11300 Seneca View Way
Great Falls, VA 22066-1422 - Phone
- (571) 335-6195
- NPI assigned
- Dec 20, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414080 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Ridge Dental Care | General Practice | Past | Accepting new patients |
| Dental Professionals of Virginia, P.C | Student in an Organized Health Care Education/Training Program | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401414080 | VA | Yes |
Addresses
Primary practice location
11300 Seneca View Way
Great Falls, VA 22066-1422
Mailing address
625 Elmwood Ave
Rochester, NY 14620-2913
Phone (585) 275-5051
Other providers in Great Falls, VA
- Nataliya A Iakovleva
- Vinod Kumar Indupuru
- Talleree Nichole Joebgen
- Sejla Jukic
- Perry Purshottam Kaneriya
- Aras Frank Kay
- Jordan Kfoury
- Suk Kew Kim
- Kind Nest Academy LLC
- Kelsey Krause
All providers in Great Falls, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.