Individual provider Active NPI

Aseel Mukbel, D.D.S

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1386094175
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416000 Issued in VA
Practice address
7696 Richmond Hwy Ste D
Alexandria, VA 22306-2843
Phone
(424) 273-7192
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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 0401416000 VA Primary

Addresses

Primary practice location

7696 Richmond Hwy Ste D
Alexandria, VA 22306-2843

Mailing address

22860 Quante SQ
Ashburn, VA 20148-7313
Phone (424) 273-7192

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191105003263 VA Order and Referring Only - DentistPractitioner - Dentist 8022396811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1386094175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22860 QUANTE SQ",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201487313",
            "telephone_number": "424-273-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7696 RICHMOND HWY STE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062843",
            "telephone_number": "424-273-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKBEL",
        "first_name": "ASEEL",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.