Organization Active NPI

Lumiere Dental PLLC

  • Public Health Dentistry
  • Fairfax, VA
National Provider Identifier
1780481291
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
LUMIERE DENTAL PLLC
Practice address
9524B Route 29
Fairfax, VA 22031-2303
Phone
(773) 512-1811
Fax
(703) 828-8778
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Zukaey AllababidiNPI 1558508911
Title
President
Phone
(773) 512-1811

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
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

9524B Route 29
Fairfax, VA 22031-2303

Mailing address

9524B Route 29
Fairfax, VA 22031-2303
Phone (773) 512-1811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1780481291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524B ROUTE 29",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312303",
            "telephone_number": "773-512-1811",
            "fax_number": "703-828-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524B ROUTE 29",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312303",
            "telephone_number": "773-512-1811",
            "fax_number": "703-828-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIERE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "ALLABABIDI",
        "authorized_official_first_name": "ZUKAEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-512-1811"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.