Sama Hamdoon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401415776 Issued in VA

Practice address

10454 Hilltop Plaza Way
Spotsylvania, VA 22553-2100

Phone

(714) 428-1379

NPI assigned

Aug 31, 2017

Sex

Female

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

Enrolled in VA

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

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1376061168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 RIVER WALK WAY APT 396",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915980",
            "telephone_number": "703-865-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10454 HILLTOP PLAZA WAY",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225532100",
            "telephone_number": "714-428-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDOON",
        "first_name": "SAMA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holli Renee Gould, MSW
• Grandlan Speech Therapy LLC
• Chandni Grover
• Matthew Hall
• Addie Louise Hallscott, MSW, ACSW, LGSW
• Carrington Hargrove
• Dianna Hack Hart, LCSW
• Healing Hands Therapeutic Massage, LLC.
• Alexis Taylor Heflin, RBT
• Katherine Elizabeth Henry, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.