Active NPI
Ahmed Al Rawe, DDS
- Dentist
- Othello, WA
National Provider Identifier
1497499339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7739
- Practice address
- 1515 E Columbia St
Othello, WA 99344-1846 - Phone
- (509) 488-5256
- NPI assigned
- Apr 26, 2022
- Last updated
- Dec 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7739 | NV | Primary |
Addresses
Primary practice location
1515 E Columbia St
Othello, WA 99344-1846
Mailing address
7401 W Washington Ave Apt 1121
Las Vegas, NV 89128-4310
Phone (402) 805-1790
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 |
|---|---|---|---|
| 7739 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1497499339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 W WASHINGTON AVE APT 1121",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284310",
"telephone_number": "402-805-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441846",
"telephone_number": "509-488-5256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL RAWE",
"first_name": "AHMED",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-26",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Othello, WA
- Azalia Acosta
- Adams County Public Hospital District 3 (Othello Community Hospital)
- Admas County Pulic Hospital No. 3 (Othello Community Hospital)
- Ana K Aguirre Monday, MASSAGE THERAPIST
- Luis Carlos Alcalde, PHYSICIAN ASSISTANT
- Mikayla E Alonzo, RDH
- Octavio Alvarez Nunez
- Josue Abraham Alvarez, RDH
- Melissa Alvarez, PA-C, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.