Active NPI
Mirpanah & Fazel Dental
- Dental Clinic/Center
- Virginia Beach, VA
National Provider Identifier
1912849795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MIRPANAH & FAZEL DENTAL
- Practice address
- 984 First Colonial Rd Ste 200
Virginia Beach, VA 23454-3196 - Phone
- (757) 412-2235
- NPI assigned
- Apr 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacob Mirpanah, DDS, MS
- Title
- Dentist
- Phone
- (703) 650-8265
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
984 First Colonial Rd Ste 200
Virginia Beach, VA 23454-3196
Mailing address
9626 21St Bay St
Norfolk, VA 23518-1609
Phone (703) 650-8265
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Virginia Beach, VA
- NPI 1013653518
-
- Dentist
- Virginia Beach, VA
- NPI 1801817002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1912849795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9626 21ST BAY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235181609",
"telephone_number": "703-650-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 FIRST COLONIAL RD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543196",
"telephone_number": "757-412-2235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRPANAH & FAZEL DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "MIRPANAH",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "703-650-8265",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.