Marwa Aly Abdelhamid Abdelrahman, BDS, MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11695 Issued in OR

Practice address

1789 NW 173Rd Ave
Beaverton, OR 97006-4817

Phone

(503) 614-1177

NPI assigned

Jun 24, 2018

Last updated

Feb 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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.

• James Kolby Robinson, DMD

  dba Paventy and Brown Orthodontics, LLD

  • Dental Clinic/Center
  • Corvallis, OR
  • NPI 1447893870
  NPD (past)
• Richard Hsu, DM., PC

  dba The Shoebox Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Beaverton, OR
  • NPI 1386985489
  NPD (past)

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1073008959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15144 NW COSMOS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297058",
            "telephone_number": "502-408-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 NW 173RD AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064817",
            "telephone_number": "503-614-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Kemp Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454314200",
            "country_code": "US",
            "telephone_number": "937-426-2653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 W Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011510",
            "country_code": "US",
            "telephone_number": "410-706-7970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELRAHMAN",
        "first_name": "MARWA",
        "middle_name": "ALY ABDELHAMID",
        "credential": "BDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026292",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D11695",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.026292",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Aamodt, OTD, OTR/L
• Amelia Aaron, SLP
• ABA Access Academy
• Asatu Abalo Abalo
• Haitham Abdallah
• Hadel Abden
• Wesley Abdi
• Gerissa Abdon
• Heather S Abe, DO
• Joanna Ruth Abels

• Pediatric Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.