Samim Mohammadi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401420033 Issued in VA

Practice address

616 Campus Dr Ste 100
Abingdon, VA 24210-9706

Phone

(276) 525-4487

NPI assigned

Mar 3, 2026

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Mission Dental Virginia, Inc

  • General Practice Dentistry
  • Abingdon, VA
  • NPI 1639785934
  NPD (past)

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1962357947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14399 SEDONA DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552839",
            "telephone_number": "571-245-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CAMPUS DR STE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109706",
            "telephone_number": "276-525-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMADI",
        "first_name": "SAMIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401420033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Joy Mingle, LCSW
• Judy M Mink, LCSW
• Meggon Noel Mink, PT, DPT
• Mission Dental Virginia, Inc
• Beshir Mohamed
• Daniel J Moncier, MS, OTR
• Candace R. Moore, DPT
• French Hale Moore III, DDS
• James D Moore Jr., MD
• Lacyoni Moraes-Finglass, MD

• Dentist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.