Individual provider Active NPI

Matt Nikpourfard, DDS

  • General Practice Dentistry
  • Ashburn, VA
National Provider Identifier
1407986896
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410566 Issued in VA
Practice address
44121 Leesburg Pike Ste 280
Ashburn, VA 20147-5672
Phone
(703) 723-1200
Fax
(702) 723-7027
NPI assigned
Mar 6, 2007
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410566 VA Primary

Addresses

Primary practice location

44121 Leesburg Pike Ste 280
Ashburn, VA 20147-5672

Mailing address

43257 Baltusrol Ter
Ashburn, VA 20147-5243
Phone (703) 723-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401410566VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matt Nikpourfard DDS PC Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1407986896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43257 BALTUSROL TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475243",
            "telephone_number": "703-723-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44121 LEESBURG PIKE STE 280",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475672",
            "telephone_number": "703-723-1200",
            "fax_number": "702-723-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKPOURFARD",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410566",
            "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 Sep 16, 2026; 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.