Abdallahi Sidi El Moctar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413206 Issued in VA

Practice address

5671 Columbia Pike
Suite 101
Falls Church, VA 22041-2884

Phone

(703) 845-9090

NPI assigned

Jun 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mira Dental Care PLLC

  • General Practice Dentistry
  • Arlington, VA
  • NPI 1750479697
  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1295020501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 COLUMBIA PIKE",
            "address_2": "SUITE 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 COLUMBIA PIKE",
            "address_2": "SUITE 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412884",
            "telephone_number": "703-845-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDI EL MOCTAR",
        "first_name": "ABDALLAHI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Alanna Shuster, M.D.
• Sharmila Shyamsundar, DDS
• John Shyllon
• Maurisa D. Shyne, O.T.
• Carla Cardona Sidhu, R.D.
• Allison J Siegel, M.D.
• David Matthew Siegel, DPM
• Erika Janet Siegel, PHD
• Ethan Siegel, PSY.D.
• Kendra A Sievers

• General Practice Dentistry in Falls Church, VA
• Providers in Falls Church, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.