Individual provider Active NPI

Paiyaum Bibizadeh, DDS

  • Dentist
  • Springfield, VA
National Provider Identifier
1568021400
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401416646 Issued in VA
Practice address
7837 Rolling Rd Ste B
Springfield, VA 22153-2821
Phone
(571) 429-4420
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17018 MD
Dentist 122300000X 0401416646 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7837 Rolling Rd Ste B
Springfield, VA 22153-2821

Mailing address

3392 Monarch LN
Annandale, VA 22003-1153
Phone (571) 732-9658

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
17018MDMDDentist
0401416646VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1568021400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3392 MONARCH LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031153",
            "telephone_number": "571-732-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7837 ROLLING RD STE B",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532821",
            "telephone_number": "571-429-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBIZADEH",
        "first_name": "PAIYAUM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17018",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416646",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.