Mosaab Hawsawi

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401416722 Issued in VA

Practice address

4072 Victory Blvd
Portsmouth, VA 23701-2820

Phone

(757) 418-8000

NPI assigned

Sep 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1396293940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 VICTORY BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012820",
            "telephone_number": "757-418-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4072 VICTORY BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012820",
            "telephone_number": "757-418-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Shenandoah Village Dr Ste 124",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229809279",
            "country_code": "US",
            "telephone_number": "434-975-7435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3411 Sycamore School Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761232091",
            "country_code": "US",
            "telephone_number": "714-514-8294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWSAWI",
        "first_name": "MOSAAB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401416722",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "36977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Loren Hauser, MD
• Kathleen Haver, LCSW
• Christina Louise Hawkins
• Julie R Hawkins, PT
• Robert Joseph Hawkins, CRNA
• Hannah Abigail Hayden, LCSW
• Sara Marcella Haydon
• Marcella Lynn Hayes-Brown
• Amy Hayes, PT, DPT, ATC
• Tyrikus Germaine Hayes

• Orthodontics and Dentofacial Orthopedics Dentistry in Portsmouth, VA
• Providers in Portsmouth, 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 Jun 14, 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.