Active NPI
Ahmad Waleed Aldeeweli
- Student in an Organized Health Care Education/Training Program
- Richmond, VA
National Provider Identifier
1407782964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0442000596
- Practice address
- 520 N 12TH St
Richmond, VA 23298-5064 - Phone
- (804) 244-7049
- NPI assigned
- Jun 22, 2026
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401420311 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0442000596 | VA | Primary |
Addresses
Primary practice location
520 N 12TH St
Richmond, VA 23298-5064
Mailing address
230 N 6TH St Unit 202
Richmond, VA 23219-1876
Phone (804) 244-7049
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1407782964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N 6TH ST UNIT 202",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191876",
"telephone_number": "804-244-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 12TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985064",
"telephone_number": "804-244-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDEEWELI",
"first_name": "AHMAD",
"middle_name": "WALEED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-22",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401420311",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0442000596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.