NPIMap

Individual provider Active NPI

Ayman Kedes Adeeb, DDS

  • General Practice Dentistry
  • Winchester, VA
National Provider Identifier
1467749127
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413285 Issued in VA
Practice address
500 W Jubel Early Dr
Suite Number 200
Winchester, VA 22601
Phone
(540) 535-2006
NPI assigned
Jul 1, 2011
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 0401413285 VA Primary

Addresses

Primary practice location

500 W Jubel Early Dr
Suite Number 200
Winchester, VA 22601

Mailing address

500 W Jubal Early Dr
Ste 200
Winchester, VA 22601-6507
Phone (540) 535-2006

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
0401413285VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ayman K Adeeb DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1467749127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W JUBAL EARLY DR",
            "address_2": "STE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016507",
            "telephone_number": "540-535-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W JUBEL EARLY DR",
            "address_2": "SUITE NUMBER 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-535-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEEB",
        "first_name": "AYMAN",
        "middle_name": "KEDES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.