Tamer M Abdelwahab, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

2100 Lynnhaven Pkwy
Suite 100
Virginia Beach, VA 23456-1492

Phone

(757) 416-1800

Fax

(757) 416-9276

NPI assigned

Dec 4, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Galleria Dental of Alexandria PLLC

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1477117778
  NPD
• Galleria Dental Smiles, PC

  • Dental Clinic/Center
  • Herndon, VA
  • NPI 1699463851
  NPD
• Konikoff Dental

  • Dentist
  • Virginia Beach, VA
  • NPI 1285032995
  NPD (past)
• Konikoff Dental Associates, Inc.

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1063570968
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528126554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LYNNHAVEN PKWY",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561492",
            "telephone_number": "757-416-1800",
            "fax_number": "757-416-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNNHAVEN PKWY",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561492",
            "telephone_number": "757-416-1800",
            "fax_number": "757-416-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELWAHAB",
        "first_name": "TAMER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "019711",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "816276",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Abadir
• Bianca Abasta, RBT
• Abba Technical Center LLC
• Abbacare Health Services
• Joann J Abbott, LMT
• Damir R Abdullaev
• Christian Thomas M Abella, CSA
• Able Care Support Services
• Alexander Aboka, MD
• Sara Abolahrari, DDS

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.