Individual provider Active NPI

Hisham Essam a Merdad, B.D.S., D.SC.D

  • Pediatric Dentistry
  • Falls Church, VA
National Provider Identifier
1144656356
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401414352 Issued in VA
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

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2901020826MIMDPediatric Dentist
0401414352VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Merdad Dentistry PLLC Pediatric Dentistry Current Accepting new patients
K&M Dentistry PLLC Pediatric Dentistry CurrentSince Jul 23, 2023 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.

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.

Verify at the official NPI Registry.