Organization Active NPI

Bright Light Dentistry LLC

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1689561383
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIGHT LIGHT DENTISTRY LLC
Practice address
13000 Harbor Dr Ste 201
Woodbridge, VA 22192-2909
Phone
(703) 388-6564
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Nima Moradi Majd, DDS
Title
Owner
Phone
(703) 388-6564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13000 Harbor Dr Ste 201
Woodbridge, VA 22192-2909

Mailing address

13000 Harbor Dr Ste 201
Woodbridge, VA 22192-2909

National Provider Directory

National Provider Directory

Locations

13000 Harbor Dr
Ste 201
Woodbridge, VA 22192
Phone (703) 388-6564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1689561383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 HARBOR DR STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 HARBOR DR STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922909",
            "telephone_number": "703-388-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIGHT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "MORADI MAJD",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-388-6564",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.