Behaylu Ayalew Dametew, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416787 Issued in VA

Practice address

14346 Warwick Blvd
Newport News, VA 23602-3814

Phone

(757) 755-8771

NPI assigned

Dec 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1073150199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 PEABODY ST NW APT 409",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111871",
            "telephone_number": "202-629-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14346 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236023814",
            "telephone_number": "757-755-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMETEW",
        "first_name": "BEHAYLU",
        "middle_name": "AYALEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Charles Daimler, MD
• Barry Brent Dale, M.D.
• Anita Dalton
• Paige O'Brien Daly, DO
• Karen C Dameron, DDS
• Nicole Latrice Dandridge, LCSW
• Daniel Calhoun Jr MD LLC
• Daniel G Stockburger DDS PC
• Daniel J Broza, O.D., PLLC
• Daniel Lee Medical Group PC

• General Practice Dentistry in Newport News, VA
• Providers in Newport News, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.