NPIMap

Organization Active NPI

Matt Nikpourfard DDS PC

  • Dentist
  • Ashburn, VA
National Provider Identifier
1366864316
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
401410566 Issued in VA
Legal business name
MATT NIKPOURFARD DDS PC
Practice address
44121 Harry Byrd Hwy
Suite 280
Ashburn, VA 20147-5667
Phone
(703) 723-1200
Fax
(703) 723-7027
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Matt Nikpourfard
Title
DDS
Phone
(703) 723-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 401410566 VA Primary

Addresses

Primary practice location

44121 Harry Byrd Hwy
Suite 280
Ashburn, VA 20147-5667

Mailing address

44121 Harry Byrd Hwy
Suite 280
Ashburn, VA 20147-5667
Phone (703) 723-1200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1366864316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY",
            "address_2": "SUITE 280",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475667",
            "telephone_number": "703-723-1200",
            "fax_number": "703-723-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY",
            "address_2": "SUITE 280",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475667",
            "telephone_number": "703-723-1200",
            "fax_number": "703-723-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT NIKPOURFARD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "NIKPOURFARD",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "703-723-1200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "401410566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.