Active NPI
Ahmad Subhi Jumaa, DDS
- General Practice Dentistry
- Charlottesville, VA
National Provider Identifier
1457092397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401418613
- Practice address
- 2149 Barracks Rd
Charlottesville, VA 22903-4810 - Phone
- (344) 240-2824
- NPI assigned
- Apr 5, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401418613 | VA | Primary |
Addresses
Primary practice location
2149 Barracks Rd
Charlottesville, VA 22903-4810
Mailing address
240 Moraga St Apt 202
Charlottesville, VA 22911-3673
Phone (954) 940-2815
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 |
|---|---|---|---|
| 0401418613 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1457092397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MORAGA ST APT 202",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113673",
"telephone_number": "954-940-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2149 BARRACKS RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034810",
"telephone_number": "344-240-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMAA",
"first_name": "AHMAD",
"middle_name": "SUBHI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401418613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.