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DR. MANSOUR MORTAZIE D.D.S
NPI 1235128950
Dentist in Falls Church, VA

Active since October 15, 2005PECOS Enrolled
313 PARK AVE, SUITE 302, FALLS CHURCH, VA 22046(703) 237-0662(703) 883-1114 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mansour Mortazie D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANSOUR MORTAZIE D.D.S (NPI 1235128950) is an individual dentist in Falls Church, Virginia, licensed in Virginia (0401005721) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235128950
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MANSOUR MORTAZIECredential: D.D.S
Location Address313 PARK AVE, SUITE 302Falls Church, VA 22046-3327
Mailing Address313 Park Ave, Suite 302Falls Church, VA 22046-3327 · (703) 237-0662 · Fax (703) 883-1114
Phone(703) 237-0662
Fax(703) 883-1114
Sole ProprietorYes
Enumeration DateOctober 15, 2005
Last NPPES UpdateMarch 12, 2014
✔ NPI 1235128950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401005721
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
313 PARK AVE, Falls Church, VA 22046
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Other Identifiers 1

Medicaid007819315VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mansour Mortazie D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNECTED PSYCHOLOGICAL SERVICES LLC
Psychologist (Clinical)
313 PARK AVE, SUITE 203
FALLS CHURCH, VA 22046
Falls Church City (571) 276-3113
MS. ANN RAYBURN ANN RAYBURN MA LPC
Counselor (Mental Health)
313 PARK AVE, SUITE 300
FALLS CHURCH, VA 22046
Falls Church City (703) 578-1065
DRS. CHRISTOPHER & FAVAGEHI
Dentist (Periodontics)
313 PARK AVE, SUITE 103
FALLS CHURCH, VA 22046
Falls Church City (703) 237-3700
DR. DAVID W. URBAN D.D.S.
Dentist
313 PARK AVE, #305
FALLS CHURCH, VA 22046
Falls Church City (703) 532-1712
IRWIN S. FELDMAN,D.D.S.,LTD.
Dentist (Orthodontics and Dentofacial Orthopedics)
313 PARK AVE, SUITE G1
FALLS CHURCH, VA 22046
Falls Church City (703) 534-3730
DR. SASSAN NADJMI DMD
Dentist (Prosthodontics)
313 PARK AVE, SUITE #306
FALLS CHURCH, VA 22046
Falls Church City (703) 532-7586
JOHN R. KARICKHOFF, M,D, P.C.
Ophthalmology
313 PARK AVE, SUITE #3
FALLS CHURCH, VA 22046
Falls Church City (703) 536-2400
SETH FELDMAN DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
313 PARK AVE, SUITE G1
FALLS CHURCH, VA 22046
Falls Church City (703) 534-3730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mansour Mortazie's NPI number?

The NPI number for Mansour Mortazie is 1235128950. It was assigned to this individual provider in the NPPES registry on October 15, 2005.

Where is Mansour Mortazie located?

Mansour Mortazie practices at 313 Park Ave Suite 302, Falls Church, VA 22046. The listed phone number is (703) 237-0662.

What is Mansour Mortazie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mansour Mortazie enrolled in Medicare?

Yes. Mansour Mortazie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mansour Mortazie was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.