Amir Reza Bahador, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

0401419673 Issued in VA

Practice address

2810 N Parham Rd Ste 210
Henrico, VA 23294-4422

Phone

(804) 635-3945

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1245116078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944422",
            "telephone_number": "804-635-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 210",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944422",
            "telephone_number": "804-635-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADOR",
        "first_name": "AMIR REZA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401419673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Henrico, VA
• Providers in Henrico, VA by specialty
• Prosthodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.