Jessica Alejandra Hatem, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401419293 Issued in VA

Practice address

2537 John Milton Dr
Herndon, VA 20171-2527

Phone

(703) 259-8477

Fax

(703) 662-9903

NPI assigned

Dec 19, 2023

Sex

Female

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

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.

• Herndon Modern Dentistry, PC

  • Dentist
  • Reston, VA
  • NPI 1417587312
  NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1114795051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20698 WOOD QUAY DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668997",
            "telephone_number": "914-525-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 JOHN MILTON DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712527",
            "telephone_number": "703-259-8477",
            "fax_number": "703-662-9903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4071 Lee Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441282173",
            "country_code": "US",
            "telephone_number": "216-727-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATEM",
        "first_name": "JESSICA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Joseph Harwood, PT, PHD, CIE
• Shabih U Hasan, MD
• Zachariah Hasan, MD
• Leah Haskvitz, CRNA
• Ahmad Reda Hatahet, DMD
• Emily Hatt, LAC
• Haille Hope Hatter, DPT
• Hussam Hassan Hawi
• Rachel Anna Hawn
• William A Hazel, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.