Individual provider Active NPI

Fekri Mahmood Munasar, DDS

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1376826495
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1001089 Issued in DC
Practice address
650 Pennsylvania Ave SE Ste 460
Washington, DC 20003-4348
Phone
(202) 547-7772
Fax
(202) 547-7796
NPI assigned
Sep 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1001089 DC Primary

Addresses

Primary practice location

650 Pennsylvania Ave SE Ste 460
Washington, DC 20003-4348

Mailing address

650 Pennsylvania Ave SE Ste 460
Washington, DC 20003-4348
Phone (202) 547-7772

Other names 1

  • Fekri Taher Abdulla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160324001169 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6103123856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aden Family & Cosmetic Dentistry 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1376826495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE STE 460",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034348",
            "telephone_number": "202-547-7772",
            "fax_number": "202-547-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE STE 460",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034348",
            "telephone_number": "202-547-7772",
            "fax_number": "202-547-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNASAR",
        "first_name": "FEKRI",
        "middle_name": "MAHMOOD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-25",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEKRI",
            "last_name": "ABDULLA",
            "middle_name": "TAHER",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.