Individual provider Active NPI

Yamen Safadi, DDS

  • Prosthodontics
  • Fairfax, VA
National Provider Identifier
1447948187
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401418578 Issued in VA
Practice address
4210 Fairfax Corner Ave W Ste 240
Fairfax, VA 22030-8620
Phone
(571) 234-5121
Fax
(571) 234-5425
NPI assigned
May 1, 2023
Last updated
Feb 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DLT2000006 DC
Prosthodontics 1223P0700X T-000410 AL
Prosthodontics 1223P0700X 0401418578 VA Primary

Addresses

Primary practice location

4210 Fairfax Corner Ave W Ste 240
Fairfax, VA 22030-8620

Mailing address

5387 Willow Valley Rd
Clifton, VA 20124-0968
Phone (443) 447-4487

Other practice location 1

4805 Plank Rd
Fredericksburg, VA 22407-6623
Phone (540) 786-2311

Other practice location 2

7119 Salem Fields Blvd
Fredericksburg, VA 22407-2541
Phone (540) 786-2000

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
T-000410ALMDProsthodontist
DLT2000006DCMDProsthodontist
0401418578VAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Diann M Vild Dentist Past Accepting new patients
University of Alabama at Birmingham PastSince May 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1447948187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5387 WILLOW VALLEY RD",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201240968",
            "telephone_number": "443-447-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 FAIRFAX CORNER AVE W STE 240",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308620",
            "telephone_number": "571-234-5121",
            "fax_number": "571-234-5425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224076623",
            "country_code": "US",
            "telephone_number": "540-786-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7119 Salem Fields Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224072541",
            "country_code": "US",
            "telephone_number": "540-786-2000",
            "fax_number": "540-786-7469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFADI",
        "first_name": "YAMEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "DC",
            "license": "DLT2000006",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AL",
            "license": "T-000410",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401418578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.