Individual provider Active NPI

Ali Fahimi

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1962186817
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040148459 Issued in VA
Practice address
8190 Strawberry LN Ste 10
Falls Church, VA 22042-1030
Phone
(703) 204-0050
NPI assigned
Jun 12, 2023
Last updated
Sep 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040148459 VA Primary

Addresses

Primary practice location

8190 Strawberry LN Ste 10
Falls Church, VA 22042-1030

Mailing address

8190 Strawberry LN Ste 10
Falls Church, VA 22042-1030

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

LicenseStateTypeSpecialty
040148459VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Al-Karagholi Dentistry of Merrifield PC General Practice CurrentSince Oct 1, 2023 Accepting new patients
GD VA PLLC General Practice Past Accepting new patients

Locations

8190 Strawberry Ln
Ste 10
Falls Church, VA 22042
Phone (703) 204-0050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1962186817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 STRAWBERRY LN STE 10",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 STRAWBERRY LN STE 10",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421030",
            "telephone_number": "703-204-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIMI",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "040148459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.