Individual provider Active NPI

Tawfiq Alkilani, D.D.S.

  • Dentist
  • Colonial Heights, VA
National Provider Identifier
1295999316
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412228 Issued in VA
Practice address
798 Southpark Blvd
Suite 26
Colonial Heights, VA 23834-3615
Phone
(804) 520-1177
NPI assigned
Jul 17, 2008
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412228 VA Primary

Addresses

Primary practice location

798 Southpark Blvd
Suite 26
Colonial Heights, VA 23834-3615

Mailing address

798 Southpark Blvd
Suite 26
Colonial Heights, VA 23834-3615
Phone (804) 520-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000625 MI Order and Referring Only - DentistPractitioner - Dentist 2961790696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401412228VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sam E English II DDS LLC Past Accepting new patients

Organizations & group practices 1

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1295999316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 SOUTHPARK BLVD",
            "address_2": "SUITE 26",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343615",
            "telephone_number": "804-520-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 SOUTHPARK BLVD",
            "address_2": "SUITE 26",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343615",
            "telephone_number": "804-520-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKILANI",
        "first_name": "TAWFIQ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.