Ahmad Hawasli

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401414973 Issued in VA

Practice address

8100 Ashton Ave
Ste 212
Manassas, VA 20109-5622

Phone

(773) 629-0329

NPI assigned

Nov 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairfax Periodontal and Implant Center, PLLC

  • Periodontics
  • Fairfax, VA
  • NPI 1932971850
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1508263104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 CHASE COMMONS CT",
            "address_2": "APT# 208",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154611",
            "telephone_number": "773-629-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE",
            "address_2": "STE 212",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095622",
            "telephone_number": "773-629-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWASLI",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-25",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401414973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoor Hassane
• Sassan Hassassian, M.D.
• Diane Yvonne Hattler, LPC
• Lindsay S Hauer
• Elizabeth Haugh
• Andy Hay, M.D.
• Sylvia Andersen Haydash, L.C.S.W.
• Kathryn Hayes, DPT
• Larry Haygood
• Monica N Hayward, MSW

• Periodontics in Manassas, VA
• Providers in Manassas, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.