Individual provider Active NPI

Zaid Jerrie Al-Samir, DDS

  • General Practice Dentistry
  • Midlothian, VA
National Provider Identifier
1407296718
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414771 Issued in VA
Practice address
13841 Hull Street Rd Ste 1
Midlothian, VA 23112
Phone
(804) 739-5791
NPI assigned
Jul 1, 2013
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
019029496ILMDDentist
0401414771VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.