Individual provider Active NPI

Salar Ebrahimi, DDS

  • Dental Anesthesiology
  • Leesburg, VA
National Provider Identifier
1669936381
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
0401416563 Issued in VA
Practice address
430 Harrison St SE
Leesburg, VA 20175-3721
Phone
(703) 944-6442
Fax
(929) 266-8885
NPI assigned
Jan 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0004X 0401416563 VA Primary

Addresses

Primary practice location

430 Harrison St SE
Leesburg, VA 20175-3721

Mailing address

3406 Carlton St
Richmond, VA 23230-4376
Phone (703) 944-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906002888 NY Order and Referring Only - DentistPractitioner - Dentist 2466816665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401416563VAMDGeneral Practice Dentistry
062496NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Dental Group PLLC Dental Anesthesiology Current Accepting new patients
Steve D. Yopa DDS PLLC CurrentSince Sep 28, 2025 Accepting new patients

Locations

430 Harrison St SE
Leesburg, VA 20175
Phone (571) 510-3034

Interoperability endpoints

  • Direct secure messaging: sebrahimi884291@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1669936381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 CARLTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304376",
            "telephone_number": "703-944-6442",
            "fax_number": "929-266-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 HARRISON ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753721",
            "telephone_number": "703-944-6442",
            "fax_number": "929-266-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "SALAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-27",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "VA",
            "license": "0401416563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.