Individual provider Active NPI

Mohammed A. Almzayyen, DDS

  • Dentist
  • Charlottesville, VA
National Provider Identifier
1154606242
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413310 Issued in VA
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

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731015524 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173837341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401413310VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Virginia, P.C. General Practice PastSince Jun 5, 2022 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.

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

Verify at the official NPI Registry.