Individual provider Active NPI

Yas Saleem

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1144748658
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415813 Issued in VA
Practice address
8719 Plantation LN
Manassas, VA 20110-4506
Phone
(703) 369-5544
Fax
(703) 361-3680
NPI assigned
Sep 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401415813 VA
General Practice Dentistry 1223G0001X 0401415813 VA Primary

Addresses

Primary practice location

8719 Plantation LN
Manassas, VA 20110-4506

Mailing address

8719 Plantation LN
Manassas, VA 20110-4506
Phone (703) 369-5544

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401415813VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saleem & Alquraishi PLLC CurrentSince Apr 9, 2023 Accepting new patients
Dentists of Dumfries Dentist CurrentSince Aug 27, 2023 Accepting new patients
Dental House Dentist CurrentSince Oct 5, 2021 Accepting new patients
Elaine K. Sours, D.D.S., P.C. General Practice PastSince Oct 5, 2021 Accepting new patients

Locations

5207A Lyngate Ct
Burke, VA 22015
Phone (703) 978-8560

16820 Dumfries Rd
Ste 110
Dumfries, VA 22025
Phone (702) 800-2760

8719 Plantation Ln
Manassas, VA 20110
Phone (703) 369-5544

Organizations & group practices 4

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1144748658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8719 PLANTATION LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104506",
            "telephone_number": "703-369-5544",
            "fax_number": "703-361-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8719 PLANTATION LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104506",
            "telephone_number": "703-369-5544",
            "fax_number": "703-361-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEM",
        "first_name": "YAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415813",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.