Individual provider Active NPI

Atiyeh Emam, DDS

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1538147343
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410443 Issued in VA
Practice address
44135 Woodridge Parkway
Suite 280
Leesburg, VA 20176
Phone
(703) 858-9200
Fax
(703) 858-9542
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 0401410443 VA Primary

Addresses

Primary practice location

44135 Woodridge Parkway
Suite 280
Leesburg, VA 20176

Mailing address

44135 Woodridge Parkway
Suite 280
Leesburg, VA 20176
Phone (703) 858-9200

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
0401410443VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Atiyeh Emam DDS PLLC General Practice CurrentSince Jun 8, 2025 Accepting new patients

Locations

44135 Woodridge Pkwy
Ste 280
Leesburg, VA 20176
Phone (703) 858-9200

Organizations & group practices 1

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1538147343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44135 WOODRIDGE PARKWAY",
            "address_2": "SUITE 280",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-858-9200",
            "fax_number": "703-858-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44135 WOODRIDGE PARKWAY",
            "address_2": "SUITE 280",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-858-9200",
            "fax_number": "703-858-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAM",
        "first_name": "ATIYEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.