Individual provider Active NPI

Anmar Al-Janabi, BDS, MSD, MEC

  • Endodontics
  • Centreville, VA
National Provider Identifier
1265847669
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401417674 Issued in VA
Practice address
13880 Braddock Rd
Centreville, VA 20121-2459
Phone
(703) 815-3636
NPI assigned
Jun 24, 2014
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.029565 IL
Endodontics 1223E0200X 021003118 IL
Endodontics 1223E0200X 0401417674 VA Primary

Addresses

Primary practice location

13880 Braddock Rd
Centreville, VA 20121-2459

Mailing address

25815 Mews Ter
Chantilly, VA 20152-6360
Phone (317) 989-9730

Other names 1

  • Anmar Janabi Professional name

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
019.029565ILMDDentist
021003118ILMDEndodontist
0401417674VAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Endodontics Endodontics Current Accepting new patients
Brite Dental Milwaukee, P.C. Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1265847669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25815 MEWS TER",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526360",
            "telephone_number": "317-989-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212459",
            "telephone_number": "703-815-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-JANABI",
        "first_name": "ANMAR",
        "credential": "BDS, MSD, MEC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029565",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021003118",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401417674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANMAR",
            "last_name": "JANABI",
            "credential": "BDS, MSD, MSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.