Azhari Hassan Elamin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401419039 Issued in VA

Practice address

1313 Dolley Madison Blvd Ste 209
MC Lean, VA 22101-3926

Phone

(703) 356-7890

NPI assigned

Jun 19, 2024

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

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.

• Bradley D Wiltbank DMD PC

  dba Dolley Madison Dentistry

  • General Practice Dentistry
  • McLean, VA
  • NPI 1528468402
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1134962863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13134 WILLOUGHBY POINT DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331428",
            "telephone_number": "571-412-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BLVD STE 209",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013926",
            "telephone_number": "703-356-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAMIN",
        "first_name": "AZHARI",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Litvak Ehat, LCSW
• Nasrin Ejtemaee, M.D.
• Umo Anwana Ekanem
• John Robert Eklund, RPH
• Sindhura Elagandhala
• Elan Fitness and Nutrition
• Iynas Elfadil, RPH
• Mohamed Elgazzar
• Lisa O. Elkin, PSY.D.
• Jenifer Rebecca Elkus, PSY.D.

• General Practice Dentistry in McLean, VA
• Providers in McLean, 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 19, 2024; 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.