Organization Active NPI

Atiyeh Emam DDS PLLC

  • General Practice Dentistry
  • Lansdowne, VA
National Provider Identifier
1386538130
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ATIYEH EMAM DDS PLLC
Practice address
44135 Woodridge Pkwy Ste 280
Lansdowne, VA 20176-1244
Phone
(703) 858-9200
Fax
(703) 858-9542
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Dr. Atiyeh Emam, DDSNPI 1538147343
Title
Owner/Dentist
Phone
(703) 858-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

44135 Woodridge Pkwy Ste 280
Lansdowne, VA 20176-1244

Mailing address

44135 Woodridge Pkwy Ste 280
Lansdowne, VA 20176-1244
Phone (703) 858-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251216000058 VA DME Supplier - Oral Surgery - Dentist 2163916263 Practice locations: Lansdowne, VA

National Provider Directory

National Provider Directory

Locations

44135 Woodridge Pkwy
Ste 280
Leesburg, VA 20176
Phone (703) 858-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1386538130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44135 WOODRIDGE PKWY STE 280",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761244",
            "telephone_number": "703-858-9200",
            "fax_number": "703-858-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44135 WOODRIDGE PKWY STE 280",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761244",
            "telephone_number": "703-858-9200",
            "fax_number": "703-858-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATIYEH EMAM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "EMAM",
        "authorized_official_first_name": "ATIYEH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "703-858-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.