Individual provider Active NPI

Kourosh Dinyarian, DDS

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1043860232
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416666 Issued in VA
Practice address
3701 S George Mason Dr Unit C7N
Falls Church, VA 22041-4722
Phone
(703) 639-8988
NPI assigned
Sep 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416666 VA Primary

Addresses

Primary practice location

3701 S George Mason Dr Unit C7N
Falls Church, VA 22041-4722

Mailing address

2004 Edgar CT
Falls Church, VA 22043-2613
Phone (703) 639-8988

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
0401416666VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1043860232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 EDGAR CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432613",
            "telephone_number": "703-639-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S GEORGE MASON DR UNIT C7N",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220414722",
            "telephone_number": "703-639-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINYARIAN",
        "first_name": "KOUROSH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.