Active NPI
Zaid Jerrie Al-Samir, DDS
- General Practice Dentistry
- Midlothian, VA
National Provider Identifier
1407296718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414771
- Practice address
- 13841 Hull Street Rd Ste 1
Midlothian, VA 23112 - Phone
- (804) 739-5791
- NPI assigned
- Jul 1, 2013
- Last updated
- Jun 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414771 | VA | |
| Dentist | 122300000X | 019029496 | IL | |
| General Practice Dentistry | 1223G0001X | 0401414771 | VA | Primary |
Addresses
Primary practice location
13841 Hull Street Rd Ste 1
Midlothian, VA 23112
Mailing address
13841 Hull Street Rd Ste 1
Midlothian, VA 23112-2056
Phone (804) 739-5791
Other practice location 1
6113 Lakeside Ave
Richmond, VA 23228-5236
Phone (804) 307-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029496 | IL | MD | Dentist |
| 0401414771 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alsamir Family Dentistry, PLLC | General Practice | Past | Accepting new patients |
| Donald G. Trawick, D.D.S., PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Midlothian, VA
- NPI 1205321239
-
- General Practice Dentistry
- Midlothian, VA
- NPI 1871620781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1407296718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13841 HULL STREET RD STE 1",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122056",
"telephone_number": "804-739-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13841 HULL STREET RD STE 1",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23112",
"telephone_number": "804-739-5791"
}
],
"practiceLocations": [
{
"address_1": "6113 Lakeside Ave",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232285236",
"country_code": "US",
"telephone_number": "804-307-1012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-SAMIR",
"first_name": "ZAID",
"middle_name": "JERRIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-01",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414771",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029496",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401414771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.