Niloofar Mofakhami, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401410487 Issued in VA

Practice address

2960 Chain Bridge Rd Ste 300
Oakton, VA 22124

Phone

(703) 255-3434

Fax

(703) 255-3429

NPI assigned

Nov 23, 2005

Sex

Female

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

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1285617258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 HUNTER MILL RD",
            "address_2": "SUITE 202",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241761",
            "telephone_number": "703-255-3434",
            "fax_number": "703-255-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CHAIN BRIDGE RD STE 300",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "22124",
            "telephone_number": "703-255-3434",
            "fax_number": "703-255-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFAKHAMI",
        "first_name": "NILOOFAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Elias Medina, DPT
• Kavoos Noori Mesbahi, MD
• Samantha Olivia Milgrim, M.A. , R.C.
• Rebecca Anne Miller, FNP-C
• Ella A Mink, DOULA
• Hossein Moghadam
• Diego Montoya
• Orod Motevalli
• MSH/Hunter Mill Operating, LLC
• Husam Mutawak

• Pediatric Dentistry in Oakton, VA
• Providers in Oakton, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.