Organization Active NPI

Mirpanah & Fazel Dental

  • Dental Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1912849795
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Dr. Jacob Mirpanah, DDS, MSNPI 1013653518
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.