Active NPI
Yamen Safadi, DDS
- Prosthodontics
- Fairfax, VA
National Provider Identifier
1447948187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0401418578
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| T-000410 | AL | MD | Prosthodontist |
| DLT2000006 | DC | MD | Prosthodontist |
| 0401418578 | VA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diann M Vild | Dentist | Past | Accepting new patients |
| University of Alabama at Birmingham | Past | 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.
-
- Dentist
- Fredericksburg, VA
- NPI 1124202395
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
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.