MICHAEL EGHTESSAD
NPI 1710044623
Dentist - General Practice in Ashburn, VA

Active since January 02, 2007PECOS Enrolled
44330 PREMIER PLZ STE 140, ASHBURN, VA 20147(703) 726-0333(703) 726-0553 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Eghtessad NPPES

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

MICHAEL EGHTESSAD (NPI 1710044623) is an individual general practice provider in Ashburn, Virginia, licensed in Virginia (0401410302) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710044623
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL EGHTESSAD
Location Address44330 PREMIER PLZ STE 140Ashburn, VA 20147-5071
Mailing Address44330 Premier Plz Ste 140Ashburn, VA 20147-5071 · (703) 726-0333 · Fax (703) 726-0553
Fax(703) 726-0553
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateNovember 11, 2014
NPI 1710044623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401410302
Definition
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.
44330 PREMIER PLZ STE 140, Ashburn, VA 20147

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Eghtessad 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 20147 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Michael Eghtessad's NPI number?

The NPI number for Michael Eghtessad is 1710044623. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Michael Eghtessad located?

Michael Eghtessad practices at 44330 Premier Plz Ste 140, Ashburn, VA 20147. The listed phone number is (703) 726-0333.

What is Michael Eghtessad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Eghtessad enrolled in Medicare?

Yes. Michael Eghtessad is registered in the Medicare PECOS enrollment system.

What insurance does Michael Eghtessad accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Michael Eghtessad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Eghtessad was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.