Mudher Rafid Bahar, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401417427 Issued in VA

Practice address

609 E Main St Ste P
Purcellville, VA 20132-3182

Phone

(540) 900-0970

Fax

(540) 767-5227

NPI assigned

Sep 10, 2018

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Dentex Dental Group

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1770861130
  NPD (past)
• Elite Dental, LLC

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1255619920
  NPD (past)
• Philadelphia Dental

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1306734447
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1205319977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 WATER ELM LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220309071",
            "telephone_number": "703-949-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E MAIN ST STE P",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323182",
            "telephone_number": "540-900-0970",
            "fax_number": "540-767-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHAR",
        "first_name": "MUDHER",
        "middle_name": "RAFID",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401417427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Art of Motion Physical Therapy LLC
• Artistic Rose Salon, LLC
• Abena Bempomaa Ayim Bediako, RPH
• Aztec Applications LLC
• Debra Babarsky, M.A., L.P.C.
• Mirza Shayan Baig, DDS
• Frances Lynn Balagurchik, R.N.
• Darcy Barrett
• Juan Pablo Barrios Rottmann, LPC
• Hajra Basharat

• Endodontics in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.