Individual provider Active NPI

Syed Bilal Ahmed

  • General Practice Dentistry
  • Hampton, VA
National Provider Identifier
1164701934
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413255 Issued in VA
Practice address
2165 Cunningham Dr
Hampton, VA 23666-2569
Phone
(757) 827-5665
Fax
(757) 896-3615
NPI assigned
Aug 11, 2011
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413255 VA
General Practice Dentistry 1223G0001X 0401413255 VA Primary

Addresses

Primary practice location

2165 Cunningham Dr
Hampton, VA 23666-2569

Mailing address

2165 Cunningham Dr
Hampton, VA 23666-2569
Phone (757) 827-5665

Other practice location 1

229 N Monroe Ave
Covington, VA 24426-1409
Phone (571) 212-9759

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
0401413255VAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1164701934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 CUNNINGHAM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662569",
            "telephone_number": "757-827-5665",
            "fax_number": "757-896-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 CUNNINGHAM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662569",
            "telephone_number": "757-827-5665",
            "fax_number": "757-896-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 N Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "VA",
            "postal_code": "244261409",
            "country_code": "US",
            "telephone_number": "571-212-9759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SYED",
        "middle_name": "BILAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413255",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.