Noor Al Obaidi, DDS, MSD

Primary specialty

DentistTaxonomy code 122300000X

License

0401417128 Issued in VA

Practice address

12618 Lake Ridge Dr
Woodbridge, VA 22192-2335

Phone

(703) 636-9895

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20341/brand/1/csg/1/fhir/r4

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.

• Blossom Smile of Sacramento PC

  • Dental Clinic/Center
  • Sacramento, CA
  • NPI 1023956109
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1013523158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 EVERS DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015008",
            "telephone_number": "916-579-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12618 LAKE RIDGE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922335",
            "telephone_number": "703-636-9895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Eastern Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215400",
            "country_code": "US",
            "telephone_number": "279-238-4949",
            "fax_number": "279-238-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL OBAIDI",
        "first_name": "NOOR",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111357",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Akpati
• Mohammad Taahaaa Akram
• Fardin Akrami Khasraghi, M.D.
• Anita Dedei Akwetey
• Antonia Ifeanyi Akwule
• Reem Al-Ithawi
• Deana Ghassan Al-Khateeb, MD
• Liqaa Said Al-Khozaie, MD
• Reem Al-Obaidi
• Hussein M Alallaq, RPH

• Dentist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.