Kambiz and Kamran Tavakkoli DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410837 Issued in VA

Legal business name

KAMBIZ AND KAMRAN TAVAKKOLI DMD, PC

Practice address

12500 Lake Ridge Dr
Woodbridge, VA 22192-2354

Phone

(703) 494-3176

Fax

(703) 494-8207

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kambiz Tavakkoli, DMD

Title

Doctor

Phone

(703) 494-3176

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497871057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 LAKE RIDGE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922354",
            "telephone_number": "703-494-3176",
            "fax_number": "703-494-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 LAKE RIDGE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922354",
            "telephone_number": "703-494-3176",
            "fax_number": "703-494-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMBIZ AND KAMRAN TAVAKKOLI DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAVAKKOLI",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-494-3176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410837",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Ayamodine Kamaal
• Mabinti Kamara, FNP-C
• Raihanatu W Kamara
• Salamatu Kamara
• Barbara Kaminski
• Kamper Chiropractic & Rehabilitation Inc
• Chris Sung Kang, DPT
• Jun H Kang, M.D.
• Laura Kangelaris

• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.