Active NPI
Ali Istarabadi
- Dentist
- Tysons, VA
National Provider Identifier
1760169841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 04014119330
- Practice address
- 8310 Old Courthouse Rd
Tysons, VA 22182-3872 - Phone
- (571) 773-6582
- NPI assigned
- Jun 30, 2023
- Last updated
- Jun 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 04014119330 | VA | Primary |
Addresses
Primary practice location
8310 Old Courthouse Rd
Tysons, VA 22182-3872
Mailing address
622 W 168TH St
New York, NY 10032-3720
Phone (434) 446-7292
Other practice location 1
622 W 168th St
New York, NY 10032-3720
Phone (434) 446-7292
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04014119330 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750464000000",
"number": "1760169841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "434-446-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8310 OLD COURTHOUSE RD",
"city": "TYSONS",
"state": "VA",
"postal_code": "221823872",
"telephone_number": "571-773-6582"
}
],
"practiceLocations": [
{
"address_1": "622 W 168th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323720",
"country_code": "US",
"telephone_number": "434-446-7292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISTARABADI",
"first_name": "ALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-30",
"last_updated": "2025-06-21",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "04014119330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tysons, VA
- GSBC Global Holding LLC
- Healthwave LLC
- Pallavi J Heda, M.D.
- Ryan Augustus Tan Hormillada
- Colleen Marie Huml, MD
- Sonal Jagasia, MD
- Johns Hopkins Community Physicians, Inc
- Johns Hopkins Community Physicians, Inc (JHCP - 7929 Westpark Dr - Provider Type: 20 - Physician)
- Adriana Hollie Jones, PMHNP-BC
- Sharron Lane Jones
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.