Individual provider Active NPI

Ali Pashapour, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Arlington, VA
National Provider Identifier
1124200431
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401411854 Issued in VA
Practice address
1016 N Highland St
Ste 131B
Arlington, VA 22201-2112
Phone
(703) 223-2678
NPI assigned
Nov 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401411854 VA Primary

Addresses

Primary practice location

1016 N Highland St
Ste 131B
Arlington, VA 22201-2112

Mailing address

3158 Golansky Blvd
Woodbridge, VA 22192-4262
Phone (703) 223-2678

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401411854VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Plastic Surgery Institute Oral and Maxillofacial Surgery CurrentSince Jul 1, 2020 Accepting new patients

Locations

1016 N Highland St
Ste 131B
Arlington, VA 22201
Phone (703) 223-2678

Organizations & group practices 1

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1124200431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 GOLANSKY BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924262",
            "telephone_number": "703-223-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N HIGHLAND ST",
            "address_2": "STE 131B",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012112",
            "telephone_number": "703-223-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHAPOUR",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401411854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.