Marcus Oliver Emad, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401416411 Issued in VA

Practice address

307 Maple Ave W Ste 100
Vienna, VA 22180-4307

Phone

(703) 938-7615

NPI assigned

Aug 13, 2018

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Mike W Choe DDS PA

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1245436237
  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1053890855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 GREENSBORO DR APT 3112",
            "city": "TYSONS",
            "state": "VA",
            "postal_code": "221027364",
            "telephone_number": "703-937-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAPLE AVE W STE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804307",
            "telephone_number": "703-938-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Westlake Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283144872",
            "country_code": "US",
            "telephone_number": "910-864-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMAD",
        "first_name": "MARCUS",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416411",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nova@novadentalcare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "307 Maple Ave W Ste 100",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221804307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Ellison, LCSW
• Kristopher Ellsworth
• Dania Elmardi
• Aya Adel Eltahir, LCSW
• Phaedra M Eltawila Almajid
• Neal R Emad, DDS
• Sahar Moghadam Emami, OD
• Emergency Medicine Associates PA PC
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• Empathy Care LLC (Empathy Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.