Organization Active NPI

Lumen Dental of Tysons Corner LLC

  • Dental Clinic/Center
  • MC Lean, VA
National Provider Identifier
1720949191
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUMEN DENTAL OF TYSONS CORNER LLC
Practice address
8300 Greensboro Dr
St 160a
MC Lean, VA 22102-3605
Phone
(703) 219-8575
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Nima Raoufinia, DDSNPI 1437596285
Title
Member
Phone
(703) 219-8575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8300 Greensboro Dr
St 160a
MC Lean, VA 22102-3605

Mailing address

8300 Greensboro Dr
MC Lean, VA 22102-3605
Phone (703) 219-8575

National Provider Directory

National Provider Directory

Locations

8300 Greensboro Dr
#160A
Mc Lean, VA 22102
Phone (703) 219-8575

8300 Greensboro Dr
McLean, VA 22102
Phone (703) 556-8477

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": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1720949191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023605",
            "telephone_number": "703-219-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 GREENSBORO DR",
            "address_2": "ST 160A",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023605",
            "telephone_number": "703-219-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN DENTAL OF TYSONS CORNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "RAOUFINIA",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-219-8575",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

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