Ibraheem Samirah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416884 Issued in VA

Practice address

1194 Big Bethel Rd
Hampton, VA 23666-1906

Phone

(757) 690-0009

NPI assigned

Nov 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Nova Healthy Smiles PLLC

  • Dental Clinic/Center
  • Herndon, VA
  • NPI 1659055259
  NPD Authorized official
• Samirah Smiles LLC

  • Dental Clinic/Center
  • Sterling, VA
  • NPI 1386328987
  NPD Authorized official
• Ulery Dental and Orthodontics

  • Dentist
  • Pasadena, MD
  • NPI 1447842117
  NPD (past)

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1386158673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 DARDANELLE CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705731",
            "telephone_number": "202-492-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 BIG BETHEL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661906",
            "telephone_number": "757-690-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Michael Faraday Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905312",
            "country_code": "US",
            "telephone_number": "703-826-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMIRAH",
        "first_name": "IBRAHEEM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-22",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16587",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Alejandra Salgado Alvarado, P.A.
• Lauren Sallee, LPC
• Scott A Salmon, LMSW
• Mozhdeh Salour, MD
• Salters Creek Medical Group
• Elayna Lee Samm
• Sharon Elaine-Parker Sample, NURSE PRACTITIONER
• Joseph P. San Clemente, M.D.
• Irene Paula San Roman, M.D.
• Joan A Sanchez, IDMT

• General Practice Dentistry in Hampton, VA
• Providers in Hampton, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.