Ashkan Davary Dowlatabady, MD, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401417276 Issued in VA

Practice address

11050 Lee Hwy
Fairfax, VA 22030-5014

Phone

(949) 338-8291

NPI assigned

May 22, 2015

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 16, 2026 through Mar 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center, PLLC

  dba Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Sterling, VA
  • NPI 1891509725
  NPD Authorized official

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1801275995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 LEGERE CT",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024790",
            "telephone_number": "949-338-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305014",
            "telephone_number": "949-338-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVARY DOWLATABADY",
        "first_name": "ASHKAN",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401417276",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "17298",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Darling, CNS
• Patricia Maria Dary, D.M.D.
• Ellyn Christine Dasher, OTR/L
• Pierre-Alain L Dauby, MD
• Daun LLC. (Together Health Care)
• Rahul H. Dave, M.D., PH.D.
• Shaunette Davey, DO
• Jessica Lenore David
• Suzette David
• Zazzley David, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.