Individual provider Active NPI

Yasmin Shahkarami

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1336711639
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040148425 Issued in VA
Practice address
6303 Little River Tpke
Alexandria, VA 22312-5000
Phone
(703) 823-6616
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040148425 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6303 Little River Tpke
Alexandria, VA 22312-5000

Mailing address

6303 Little River Tpke Ste 205
Alexandria, VA 22312-5100
Phone (703) 823-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811003887 VA Order and Referring Only - DentistPractitioner - Dentist 3779987870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040148425VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Gibberman DDS PLLC PastSince Jan 4, 2026 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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1336711639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 205",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125100",
            "telephone_number": "703-823-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125000",
            "telephone_number": "703-823-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHKARAMI",
        "first_name": "YASMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "040148425",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.