Active NPI
Hisham Essam a Merdad, B.D.S., D.SC.D
- Pediatric Dentistry
- Falls Church, VA
National Provider Identifier
1144656356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401414352
- Practice address
- 6537 Arlington Blvd
Falls Church, VA 22042-3001 - Phone
- (703) 536-2661
- Fax
- (703) 538-3424
- NPI assigned
- Sep 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401414352 | VA | Primary |
| Pediatric Dentistry | 1223P0221X | 2901020826 | MI |
Addresses
Primary practice location
6537 Arlington Blvd
Falls Church, VA 22042-3001
Mailing address
6537 Arlington Blvd
Falls Church, VA 22042-3001
Phone (703) 536-2661
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020826 | MI | MD | Pediatric Dentist |
| 0401414352 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merdad Dentistry PLLC | Pediatric Dentistry | Current | Accepting new patients |
| K&M Dentistry PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
8316 Arlington Blvd
Ste 305
Fairfax, VA 22031
Phone (857) 654-0359
7522 Old Linton Hall Rd
Gainesville, VA 20155
Phone (703) 753-8600
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.
-
- Pediatric Dentistry
- Fairfax, VA
- NPI 1427737295
-
- Pediatric Dentistry
- Gainesville, VA
- NPI 1336642388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1144656356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6537 ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423001",
"telephone_number": "703-536-2661",
"fax_number": "703-538-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6537 ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423001",
"telephone_number": "703-536-2661",
"fax_number": "703-538-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERDAD",
"first_name": "HISHAM",
"middle_name": "ESSAM A",
"credential": "B.D.S., D.SC.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401414352",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "2901020826",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.