Individual provider Active NPI

Nima Raoufinia, D.D.S

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1437596285
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414020 Issued in VA
Practice address
3801 Fairfax Dr
Suite 70
Arlington, VA 22203-1762
Phone
(703) 465-0123
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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 0401414020 VA Primary

Addresses

Primary practice location

3801 Fairfax Dr
Suite 70
Arlington, VA 22203-1762

Mailing address

9807 Squaw Valley Dr
Vienna, VA 22182-1960
Phone (703) 945-2504

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
0401414020VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lumen Dental of Tysons Corner LLC Current Accepting new patients
Merrifield Dental Associates Current Accepting new patients
Kevin Scotti DDS Past Accepting new patients

Locations

3025 Hamaker Ct
Ste 420
Fairfax, VA 22031
Phone (703) 208-2244

Organizations & group practices 3

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1437596285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9807 SQUAW VALLEY DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821960",
            "telephone_number": "703-945-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 FAIRFAX DR",
            "address_2": "SUITE 70",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031762",
            "telephone_number": "703-465-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAOUFINIA",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.