Individual provider Active NPI

Becker Rafid Bahar Al Mayouf, D.M.D

  • Dentist
  • Fairfax, VA
National Provider Identifier
1508533647
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10000735 Issued in MA
Practice address
9450 Fairfax Blvd Apt 1630
Fairfax, VA 22031-2432
Phone
(484) 655-8952
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417474 VA
Dentist 122300000X 17557 MD
Dentist 122300000X 10000735 MA Primary

Addresses

Primary practice location

9450 Fairfax Blvd Apt 1630
Fairfax, VA 22031-2432

Mailing address

345 Harrison Ave Apt 462
Boston, MA 02118-3064
Phone (484) 655-8952

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
10000735MAMDDentist
0401417474VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1508533647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 HARRISON AVE APT 462",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183064",
            "telephone_number": "484-655-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 FAIRFAX BLVD APT 1630",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312432",
            "telephone_number": "484-655-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL MAYOUF",
        "first_name": "BECKER",
        "middle_name": "RAFID BAHAR",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417474",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17557",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "10000735",
            "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 Aug 26, 2025; 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.