Individual provider Active NPI

Hamad Alharbi, DDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • MC Lean, VA
National Provider Identifier
1013251065
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0438000484 Issued in VA
Practice address
1650 Tysons Blvd
MC Lean, VA 22102-4856
Phone
(305) 783-8555
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0438000484 VA Primary

Addresses

Primary practice location

1650 Tysons Blvd
MC Lean, VA 22102-4856

Mailing address

1650 Tysons Blvd
MC Lean, VA 22102-4856
Phone (703) 893-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820000806 FL Practitioner - Oral SurgeryPractitioner - Dentist 4981020997 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0438000484VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Aug 20, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 20, 2020 Accepting new patients
Faculty Associates Incorporated CurrentSince Aug 12, 2020 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
Rm D26
Gainesville, FL 32610
Phone (352) 273-5380

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

Networks

  • KY PPO C-SNP
  • TN PPO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1013251065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TYSONS BLVD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024856",
            "telephone_number": "703-893-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 TYSONS BLVD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024856",
            "telephone_number": "305-783-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHARBI",
        "first_name": "HAMAD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.