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DR. MICHAEL MEHRAN MORTAZIE D.D.S
NPI 1740490168
Dentist - General Practice in Arlington, VA

Active since May 23, 2007Opted out of Medicare · through Nov 1, 2027
4141 N HENDERSON RD, STE 16, ARLINGTON, VA 22203(703) 527-1020(703) 527-4796 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Mehran Mortazie D.d.s NPPES

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

DR. MICHAEL MEHRAN MORTAZIE D.D.S (NPI 1740490168) is an individual general practice provider in Arlington, Virginia, licensed in Virginia (VA410379) and active in the NPI registry since May 2007. He has opted out of Medicare through November 1, 2027.

NPPES Registry Identity

NPI1740490168
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL MEHRAN MORTAZIECredential: D.D.S
Location Address4141 N HENDERSON RD, STE 16Arlington, VA 22203-2486
Mailing Address4141 N Henderson Rd, Ste 16Arlington, VA 22203-2486 · (703) 527-1020 · Fax (703) 527-4796
Phone(703) 527-1020
Fax(703) 527-4796
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740490168 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 · VA410379
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.
4141 N HENDERSON RD, Arlington, VA 22203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael Mehran Mortazie D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2021 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2021
Opt-Out In Effect ThroughNovember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

JALISA CROSBY
Behavior Analyst
4141 N HENDERSON RD
ARLINGTON, VA 22203
Arlington County (571) 777-9210
LUCELO DELGRA
Massage Therapist
4141 N HENDERSON RD, SUITE 14
ARLINGTON, VA 22203
Arlington County (704) 258-1282
ASHLEY LEMUS
Behavior Technician
4141 N HENDERSON RD, PLAZA SUITE 8
ARLINGTON, VA 22203
Arlington County (571) 777-9210
KARA CAVANAUGH LEWIS BCAT
Behavior Technician
4141 N HENDERSON RD, PLAZA SUITE 7 & 8
ARLINGTON, VA 22203
Arlington County (866) 565-7222
DIANE T STROUD PT
Physical Therapist
4141 N HENDERSON RD, PLAZA 8
ARLINGTON, VA 22203
Arlington County (703) 527-8446
JINNI PHAM
Behavior Technician
4141 N HENDERSON RD
ARLINGTON, VA 22203
Arlington County (571) 777-9210
MRS. PAULA D LEVINSON PT, OCS, CLT-LANA
Physical Therapist
4141 N HENDERSON RD, HAND-N-HAND THERAPY PLAZA 8
ARLINGTON, VA 22203
Arlington County (703) 527-8446
MS. PAMELA ANN WOOD PT
Physical Therapist
4141 N HENDERSON RD, PLAZA 8
ARLINGTON, VA 22203
Arlington County (703) 527-8446

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 Mortazie's NPI number?

The NPI number for Michael Mortazie is 1740490168. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Michael Mortazie located?

Michael Mortazie practices at 4141 N Henderson Rd Ste 16, Arlington, VA 22203. The listed phone number is (703) 527-1020.

What is Michael Mortazie's specialty?

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

Is Michael Mortazie enrolled in Medicare?

No. Michael Mortazie has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Mortazie 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 6 other insurers list Michael Mortazie 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 Mortazie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.