Rebaz Waise

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0438000487 Issued in VA

Practice address

1286 E West Hwy
Silver Spring, MD 20910-3242

Phone

(301) 761-4489

NPI assigned

Apr 1, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dentists of Silver Spring, LLC

  • Dentist
  • Silver Spring, MD
  • NPI 1356958292
  NPD
• Winchester Oral Surgery Center PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Winchester, VA
  • NPI 1679829311
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1093277808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7934 WENTWORTH PL",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523440",
            "telephone_number": "703-965-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103242",
            "telephone_number": "301-761-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11050 US-29",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22033",
            "country_code": "US",
            "telephone_number": "703-520-6376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAISE",
        "first_name": "REBAZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000487",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18178",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon L. Wade, MA, CCC-SLP
• Mackenzie Waechter, LGPC
• David A. Wagar, MD
• Lindsay Wagner, PHARMD
• Mark Wahl, MA
• Shayna Waites, LICSW
• Asnaku Bultume Wake
• Ashenafi Waktola, M.D.
• Kathyann M Walcott, MD
• Stanley Walden

• Oral and Maxillofacial Surgery (Dentist) in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.