Active NPI
Ali Seena Yazdani, DDS
- Dentist
- Callao, VA
National Provider Identifier
1225684178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401418302
- Practice address
- 349 Northumberland Hwy
Callao, VA 22435 - Phone
- (804) 529-7339
- NPI assigned
- Aug 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418302 | VA | Primary |
Addresses
Primary practice location
349 Northumberland Hwy
Callao, VA 22435
Mailing address
349 Northumberland Hwy
Callao, VA 22435
Phone (804) 529-7339
Other practice location 1
9161 Prices Cove Ln
Fort Belvoir, VA 22060-7424
Phone (571) 354-5115
Other practice location 2
1048 Union St
Bangor, ME 04401-3016
Phone (207) 404-8200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418302 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Callao Family Dentistry | Current | Accepting new patients |
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.
-
- Dental Clinic/Center
- Callao, VA
- NPI 1497626121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1225684178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 NORTHUMBERLAND HWY",
"city": "CALLAO",
"state": "VA",
"postal_code": "22435",
"telephone_number": "804-529-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 NORTHUMBERLAND HWY",
"city": "CALLAO",
"state": "VA",
"postal_code": "22435",
"telephone_number": "804-529-7339"
}
],
"practiceLocations": [
{
"address_1": "9161 Prices Cove Ln",
"address_purpose": "LOCATION",
"city": "Fort Belvoir",
"state": "VA",
"postal_code": "220607424",
"country_code": "US",
"telephone_number": "571-354-5115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1048 Union St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044013016",
"country_code": "US",
"telephone_number": "207-404-8200",
"fax_number": "207-947-0435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAZDANI",
"first_name": "ALI",
"middle_name": "SEENA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-16",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Callao, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.