Active NPI
Omar Almohtasib
- General Practice Dentistry
- Norfolk, VA
National Provider Identifier
1437840634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401419312
- Practice address
- 5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530 - Phone
- (757) 978-2177
- NPI assigned
- May 17, 2023
- Last updated
- May 19, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 0401419312 | VA | Primary |
Addresses
Primary practice location
5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530
Mailing address
5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530
Phone (757) 978-2177
Other practice location 1
500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | omar.almuh@hotmail.com | Kaleida Health |
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 |
|---|---|---|---|
| 0401419312 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1437840634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 E VIRGINIA BEACH BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022530",
"telephone_number": "757-978-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 E VIRGINIA BEACH BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022530",
"telephone_number": "757-978-2177"
}
],
"practiceLocations": [
{
"address_1": "500 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Winslow",
"state": "AZ",
"postal_code": "860472169",
"country_code": "US",
"telephone_number": "928-289-4646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALMOHTASIB",
"first_name": "OMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-17",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401419312",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "omar.almuh@hotmail.com",
"affiliation": "Y",
"affiliationName": "Kaleida Health",
"address_1": "100 High St",
"city": "Buffalo",
"state": "NY",
"country_code": "US",
"postal_code": "142031126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.