NPIMap

Organization Active NPI

Yousuf Al-Aboosi DDS LLC

  • Periodontics
  • Rockville, MD
National Provider Identifier
1225744394
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
YOUSUF AL-ABOOSI DDS LLC
Practice address
15200 Shady Grove Rd Ste 440
Rockville, MD 20850-6231
Phone
(301) 869-5595
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Dr. Yousuf Al-Aboosi, DDSNPI 1306299185
Title
Owner
Phone
(412) 258-5087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

15200 Shady Grove Rd Ste 440
Rockville, MD 20850-6231

Mailing address

15200 Shady Grove Rd Ste 440
Rockville, MD 20850-6231
Phone (301) 869-5595

National Provider Directory

National Provider Directory

Locations

15200 Shady Grove Rd
Ste 440
Rockville, MD 20850
Phone (301) 869-5595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1225744394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 440",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506231",
            "telephone_number": "301-869-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 440",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506231",
            "telephone_number": "301-869-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUSUF AL-ABOOSI DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "AL-ABOOSI",
        "authorized_official_first_name": "YOUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-258-5087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.