Soheil Rostami, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

0401416147 Issued in VA

Practice address

4211 Fairfax Corner E Ave Suite 235
Fairfax, VA 22030-5051

Phone

(703) 449-8888

NPI assigned

May 30, 2018

Last updated

Jun 29, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Virginia Oral and Facial Surgery, LLC

  dba Northern Virginia Oral Surgery Center of Alexandria

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Alexandria, VA
  • NPI 1003701277
  NPD (past)
• Northern Virginia Oral and Facial Surgery, LLC

  dba Ashburn Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Ashburn, VA
  • NPI 1013718071
  NPD (past)
• Northern Virginia Oral and Facial Surgery, LLC

  dba Warrenton Oral and Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Warrenton, VA
  • NPI 1407657455
  NPD (past)
• Northern Virginia Oral and Facial Surgery, LLC

  dba Falls Church Oral and Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Falls Church, VA
  • NPI 1780485730
  NPD (past)
• Northern Virginia Oral and Facial Surgery, LLC

  dba Northern Virginia Center for Oral, Facial and Implant Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Fairfax, VA
  • NPI 1831526995
  NPD (past)
• Northern Virginia Oral and Facial Surgery, LLC

  dba Gainesville Oral and Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Gainesville, VA
  • NPI 1831990886
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1396237061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST # 238",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-628-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 FAIRFAX CORNER E AVE SUITE 235",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305051",
            "telephone_number": "703-449-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Holiday Ct Ste 203",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201864349",
            "country_code": "US",
            "telephone_number": "540-347-0274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-6763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220422325",
            "country_code": "US",
            "telephone_number": "703-534-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSTAMI",
        "first_name": "SOHEIL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401416147",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "VA",
            "license": "0401416147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Ross, ED.S
• Maureen Ross, N.P.
• Pamela K Ross, AGAC NP
• Peter Stephen Ross, MD
• Anna T Rossman
• Alexandra Roth, LCSW
• Olivia Roth
• Richard B Rothman, M.D., PH.D.
• John F. Rothrock, MD
• Jaclyn Rotier, OTR/L

• Oral & Maxillofacial Surgery (D.M.D.) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.