Ibrahim Elgarawany, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401414682 Issued in CT

Practice address

4199 Winchester Rd
Suite H
Marshall, VA 20115-3269

Phone

(540) 364-8040

NPI assigned

Jun 10, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adam Dental Care

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1588120224
  NPD Authorized official
• Culpeper Family Dental PC

  • Dentist
  • Culpeper, VA
  • NPI 1720804966
  NPD Authorized official
• Marshall Dental Care

  • General Practice Dentistry
  • Marshall, VA
  • NPI 1477072973
  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1124466347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 WINCHESTER RD",
            "address_2": "SUITE H",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153269",
            "telephone_number": "540-364-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 WINCHESTER RD",
            "address_2": "SUITE H",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153269",
            "telephone_number": "540-364-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGARAWANY",
        "first_name": "IBRAHIM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "0401414682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124466347",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Leah Butterfield, NP
• Caroline Thomason Nutrition Consulting, LLC
• Judith Evans Clair, L.P.C.
• Rachel Whitney Crossen, IBCLC
• Eastern Sky Health, Inc.
• Fauquier Physician Management Services Inc
• Fifth Sanitary Food Store Inc
• Joan Fleck, LPC, LMFT
• Christine Helsel, COTA/L
• Elizabeth Ann Hoebel, MD

• General Practice Dentistry in Marshall, VA
• Providers in Marshall, 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 Jun 16, 2015; 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.