Individual provider Active NPI

Mahmoud Qarawi

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1114795804
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401419277 Issued in VA
Practice address
328 Louisa Ave Ste 120
Virginia Beach, VA 23454-4668
Phone
(757) 428-7440
NPI assigned
Dec 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401419277 VA Primary

Addresses

Primary practice location

328 Louisa Ave Ste 120
Virginia Beach, VA 23454-4668

Mailing address

444 Becton PL
Virginia Beach, VA 23452-5752
Phone (703) 896-8253

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

LicenseStateTypeSpecialty
0401419277VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Virginia, P.C. General Practice CurrentSince Jan 5, 2025 Accepting new patients
Michael P Folck, D.D.S., PC General Practice PastSince Jan 5, 2025 Accepting new patients

Locations

328 Louisa Ave
Ste 120
Virginia Beach, VA 23454
Phone (757) 428-7440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1114795804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 BECTON PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525752",
            "telephone_number": "703-896-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 LOUISA AVE STE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544668",
            "telephone_number": "757-428-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QARAWI",
        "first_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.