Active NPI
Hussein Kamoona, DMD
- Dentist
- Martinsburg, WV
National Provider Identifier
1083347199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4598
- Practice address
- 14679 Apple Harvest Dr Ste 100
Martinsburg, WV 25401-3703 - Phone
- (304) 707-9674
- NPI assigned
- Jul 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 4598 | WV | Primary |
Addresses
Primary practice location
14679 Apple Harvest Dr Ste 100
Martinsburg, WV 25401-3703
Mailing address
9245 Wood Glade Dr
Great Falls, VA 22066-2209
Phone (508) 596-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4598 | WV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1083347199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9245 WOOD GLADE DR",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220662209",
"telephone_number": "508-596-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14679 APPLE HARVEST DR STE 100",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254013703",
"telephone_number": "304-707-9674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMOONA",
"first_name": "HUSSEIN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.