Individual provider Active NPI

Ahmad Subhi Jumaa, DDS

  • General Practice Dentistry
  • Charlottesville, VA
National Provider Identifier
1457092397
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401418613 Issued in VA
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

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0401418613VAMDGeneral 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.

Verify at the official NPI Registry.