Active NPI
Ahmad Hawwa
- General Practice Dentistry
- Chester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401418121
- Practice address
- 12712 Jefferson Davis Hwy # a
Chester, VA 23831-5369 - Phone
- (804) 214-7339
- NPI assigned
- Aug 18, 2021
- Last updated
- May 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401418121 | VA | Primary |
Addresses
Primary practice location
12712 Jefferson Davis Hwy # a
Chester, VA 23831-5369
Mailing address
11736 W Broad St Ste C112
Richmond, VA 23233-1189
Phone (804) 802-9999
Other practice location 1
530 E Main St Ste 400
Richmond, VA 23219-2431
Phone (804) 648-3507
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Family Dentistry at Short Pump | General Practice | Current | Accepting new patients |
| Gold Dental Care, LLC | General Practice | Current | Accepting new patients |
Locations
11736 W Broad St
Ste C112
Richmond, VA 23233
Phone (310) 995-0492
530 E Main St
Ste 400
Richmond, VA 23219
Phone (804) 648-1305
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.
-
dba GoldDental at Richmond
- General Practice Dentistry
- Richmond, VA
- NPI 1699514653
-
- General Practice Dentistry
- Richmond, VA
- NPI 1285329052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1275209389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11736 W BROAD ST STE C112",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232331189",
"telephone_number": "804-802-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12712 JEFFERSON DAVIS HWY # A",
"city": "CHESTER",
"state": "VA",
"postal_code": "238315369",
"telephone_number": "804-214-7339"
}
],
"practiceLocations": [
{
"address_1": "530 E Main St Ste 400",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232192431",
"country_code": "US",
"telephone_number": "804-648-3507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWWA",
"first_name": "AHMAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401418121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
- Christina Faith Harper, NP-C
- Natascha Sophia Harris, RN
- Harvest Care Counseling Center, LLC
- Patrick Thomas Harvey Jr., PT, DPT
- Jayme Lea Hatch, PHARMD
- Tawanda Hayes, PMHNP-BC, MPH
- Healing Minds Outreach, LLC
- Healthline Family Practice PC
- Heaven Sent by Home Town Health Care, LTD (Heaven Sent by Home Town Health Care)
- Heaven Sent by Home Town Health Care, LTD (Heaven Sent by Home Town Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.