Pejman Ghorbani, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413261 Issued in VA

Practice address

6050 Burke Commons Rd Ste D
Burke, VA 22015-2878

Phone

(703) 250-5072

Fax

(703) 250-5149

NPI assigned

Aug 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1982982252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 BURKE COMMONS RD STE D",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152878",
            "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": "6050 BURKE COMMONS RD STE D",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152878",
            "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": "2015-05-20",
        "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": []
}

• Lisa Geis, IBCLC
• Gene Sweetnam, O.D., P.C.
• Caitlyn Nuger Gerald, DDS
• Christian Pasian Geye, LMFT
• Alexander Ghali, CCC-SLP
• Gi Psychology, PLLC
• Giant of Maryland LLC
• Giant of Maryland LLC
• Gilmour Group LLC
• Morgan Glaze, DMD

• General Practice Dentistry in Burke, VA
• Providers in Burke, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.