1. Home
  2. Directory
  3. Virginia
  4. Alexandria
  5. Dentist
  6. NPI Profile

DR. DIMA LAKKIS DDS
NPI 1992002075
Dentist - Periodontics in Alexandria, VA

Active since February 25, 2011Opted out of Medicare · through Jul 7, 2027
4660 KENMORE AVE, ALEXANDRIA, VA 22304(793) 823-2228(703) 823-0663 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dima Lakkis Dds NPPES

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

DR. DIMA LAKKIS DDS (NPI 1992002075) is an individual periodontics provider in Alexandria, Virginia, licensed in Virginia (0401413086) and active in the NPI registry since February 2011. She has opted out of Medicare through July 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992002075
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DIMA LAKKISCredential: DDS
Location Address4660 KENMORE AVEAlexandria, VA 22304-1313
Mailing Address4660 Kenmore Ave, Suite 312Alexandria, VA 22304 · (703) 823-2228 · Fax (703) 823-0663
Phone(793) 823-2228
Fax(703) 823-0663
Sole ProprietorYes
Enumeration DateFebruary 25, 2011
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1992002075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VA · 0401413086
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4660 KENMORE AVE, Alexandria, VA 22304
Open in Google Maps ↗

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. Dima Lakkis Dds 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 July 7, 2015 through July 7, 2027.

Opt-Out Effective DateJuly 7, 2015
Opt-Out In Effect ThroughJuly 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22304 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.

DR. KENNETH MICHAEL AHDOOT MD
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE #902
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4300
STEFANO FRANCO AGOLINI
Surgery
4660 KENMORE AVE, SUITE 419
ALEXANDRIA, VA 22304
Alexandria City (703) 823-4066
KELLY L COOPER PT
Physical Therapist
4660 KENMORE AVE, SUITE 420
ALEXANDRIA, VA 22304
Alexandria City (703) 751-1008
NIYADELL, INC
Technician/Technologist (Optician)
4660 KENMORE AVE, SUITE 101
ALEXANDRIA, VA 22304
Alexandria City (703) 751-2800
GEORGE W TAWIL MD
Urology
4660 KENMORE AVE, SUITE 735
ALEXANDRIA, VA 22304
Alexandria City (703) 370-2132
COMPUTED TOMOGRAPHY ASSOCIATES
Radiology (Diagnostic Radiology)
4660 KENMORE AVE, SUITE 608
ALEXANDRIA, VA 22304
Alexandria City (703) 824-3260
MS. GINA KARLIN HALDEMAN CNM
Nurse Practitioner (Obstetrics & Gynecology)
4660 KENMORE AVE, #902
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4300
DR. KRISTINA KATHLEEN HIBSHMAN M.D.
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0400

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 Dima Lakkis's NPI number?

The NPI number for Dima Lakkis is 1992002075. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Where is Dima Lakkis located?

Dima Lakkis practices at 4660 Kenmore Ave, Alexandria, VA 22304. The listed phone number is (793) 823-2228.

What is Dima Lakkis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Dima Lakkis enrolled in Medicare?

No. Dima Lakkis has opted out of Medicare through July 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dima Lakkis was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.