NPIMap

Organization Active NPI

Sasan Ahmadiyar DDS & Associates

  • Periodontics
  • Stafford, VA
National Provider Identifier
1194862169
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401008083 Issued in VA
Legal business name
SASAN AHMADIYAR DDS & ASSOCIATES
Practice address
385 Garrisonville Rd
Suite 108
Stafford, VA 22554-1545
Phone
(540) 657-7645
Fax
(540) 657-1009
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ahmir Saeid Ahmadiyar
Title
Office Manager
Phone
(540) 657-7645

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X VA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 0401008083 VA Primary

Addresses

Primary practice location

385 Garrisonville Rd
Suite 108
Stafford, VA 22554-1545

Mailing address

385 Garrisonville Rd
Suite 108
Stafford, VA 22554-1545
Phone (540) 657-7645

Other identifiers 2

IdentifierTypeStateIssuer
173202OtherVAANTHEM BCBS OF VIRGINIA
1685355OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194862169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD",
            "address_2": "SUITE 108",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541545",
            "telephone_number": "540-657-7645",
            "fax_number": "540-657-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD",
            "address_2": "SUITE 108",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541545",
            "telephone_number": "540-657-7645",
            "fax_number": "540-657-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASAN AHMADIYAR DDS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AHMADIYAR",
        "authorized_official_first_name": "AHMIR",
        "authorized_official_middle_name": "SAEID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-657-7645"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401008083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VIRGINIA",
            "identifier": "173202",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1685355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.