Ehab Bennasir

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401415912 Issued in VA

Practice address

2701 Neabsco Common PL Ste 134
Woodbridge, VA 22191-4189

Phone

(571) 260-6100

NPI assigned

Jun 27, 2014

Last updated

Aug 21, 2021By the provider in NPPES

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

Locations

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.

• Trust Orthodent PLLC

  dba Signature Orthodontics and Pediatric Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbridge, VA
  • NPI 1881360568
  NPD Authorized official

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1346655362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NEABSCO COMMON PL STE 134",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914189",
            "telephone_number": "571-260-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NEABSCO COMMON PL STE 134",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914189",
            "telephone_number": "571-260-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNASIR",
        "first_name": "EHAB",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401415912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benchmark Physical Therapy of VA, LLC
• Aida Bengussie, LCSW
• Annetta Serena Benjamin, LPC
• Christine Marie Benjamin, DSP
• Powum Bennam, PHARMD
• Bennett Group Home LLC
• Bennett Home Care Agency
• Danielle Renee Benninghoff
• N'Dea Bryauna Benson
• Kambeez Berenji, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.