Active NPI
Mohammed A. Almzayyen, DDS
- Dentist
- Charlottesville, VA
National Provider Identifier
1154606242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413310
- Practice address
- 335 Greenbrier Drive
Suite: 204
Charlottesville, VA 22901 - Phone
- (703) 212-7500
- Fax
- (703) 212-7056
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401413310 | VA | |
| Dentist | 122300000X | 0401413310 | VA | Primary |
Addresses
Primary practice location
335 Greenbrier Drive
Suite: 204
Charlottesville, VA 22901
Mailing address
335 Greenbrier Dr Ste 204
Charlottesville, VA 22901-1695
Phone (434) 296-5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150731015524 | VA | Order and Referring Only - Oral Surgery | 3173837341 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413310 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Virginia, P.C. | General Practice | Past | Accepting new patients |
| Mohammed Almzayyen, DDS, PLLC | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Charlottesville, VA
- NPI 1093166837
-
- General Practice Dentistry
- Charlottesville, VA
- NPI 1194464867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1154606242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 GREENBRIER DR STE 204",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011695",
"telephone_number": "434-296-5250",
"fax_number": "434-296-5946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 GREENBRIER DRIVE",
"address_2": "SUITE: 204",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22901",
"telephone_number": "703-212-7500",
"fax_number": "703-212-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMZAYYEN",
"first_name": "MOHAMMED",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401413310",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.