Mostafa Aboulkhair, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

0401411899 Issued in VA

Practice address

4103 Chain Bridge Rd
Suite Ll100
Fairfax, VA 22030-4107

Phone

(703) 218-8142

Fax

(703) 218-8143

NPI assigned

Dec 28, 2007

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in DC

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M & M Dental Care P.C.

  dba Aesthetic Dentistry of Fairfax

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1366822827
  NPD (past) Authorized official

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1346424140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 CHAIN BRIDGE RD",
            "address_2": "SUITE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304107",
            "telephone_number": "703-218-8142",
            "fax_number": "703-218-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 CHAIN BRIDGE RD",
            "address_2": "SUITE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304107",
            "telephone_number": "703-218-8142",
            "fax_number": "703-218-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOULKHAIR",
        "first_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa M Abo-Lubitz, M.D.
• Felicia Aboagye, LNP
• Ellen Abood, MT-BC
• Susan Aboudaya
• Rodine Aboul Hosn, MSW
• About Care GYN Associates, PLLC
• Above and Beyond ABA VA LLC (Above and Beyond Therapy)
• Binu Abraham, MSW, LICSW, LCSW-C
• Mary Abraham, PSYD
• Liana Abramova, MD

• Dentist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.