Active NPI 1023152584 Individual Practitioner Male Practitioner

Dr. Kamran Nikseresht , DDS

Dentist - General Practice • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Dr. Kamran Nikseresht, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chantilly, VA. Practice services are available at 3901 CENTERVIEW DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3901 Centerview Dr.
Suite Q

Chantilly, VA 20151

Telephone 7039610707

Fax 7039610705

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chantilly, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

28 Specialists

Practicing in Chantilly, VA (3535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-25

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401008892

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

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Updated Practice Location October 25, 2022

Registered at 3901 CENTERVIEW DR., SUITE Q, CHANTILLY, VA 20151 (Tel: 7039610707)

📍

Updated Business Mailing Address October 25, 2022

Registered at 3901 CENTERVIEW DR., SUITE Q, CHANTILLY, VA 20151 (Tel: 7039610707)

👤

Provider Name / Credentials Updated October 25, 2022

Recorded as KAMRAN NIKSERESHT, D.D.S

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 14415 CHANTILLY CROSSING LN, CHANTILLY, VA 201512116 (Tel: 7039610707)

📍

Updated Business Mailing Address July 08, 2007

Registered at 14415 CHANTILLY CROSSING LN, CHANTILLY, VA 201512116 (Tel: 7039610707)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KAMRAN NIKSERESHT, DDS, FAGD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0401008892 in VA)

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Initial NPI Registration & Enumeration February 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023152584

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 17, 2007

Last Update: October 25, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3901 Centerview Dr., Suite Q

Chantilly, VA 20151

Phone: 7039610707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.