Individual provider Active NPI

Pejman Ghorbani, DMD

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1982982252
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413261 Issued in VA
Practice address
6505 Sydenstricker Rd Ste B
Burke, VA 22015-4282
Phone
(703) 250-5072
Fax
(703) 250-5149
NPI assigned
Aug 3, 2011
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1001029 DC
General Practice Dentistry 1223G0001X 0401413261 VA Primary

Addresses

Primary practice location

6505 Sydenstricker Rd Ste B
Burke, VA 22015-4282

Mailing address

6505 Sydenstricker Rd Ste B
Burke, VA 22015-4282
Phone (703) 250-5072

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
DEN1001029DCMDGeneral Practice Dentistry
0401413261VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1982982252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 SYDENSTRICKER RD STE B",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154282",
            "telephone_number": "703-250-5072",
            "fax_number": "703-250-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 SYDENSTRICKER RD STE B",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154282",
            "telephone_number": "703-250-5072",
            "fax_number": "703-250-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHORBANI",
        "first_name": "PEJMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-03",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001029",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.