Active NPI
Arwa Abualsoud, D.M.D
- Dentist
- Lexington, KY
National Provider Identifier
1558624569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17643
- Practice address
- 2317 Remington Way
Lexington, KY 40511-9236 - Phone
- (859) 605-5173
- NPI assigned
- Jun 25, 2012
- Last updated
- Aug 23, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 17643 | KY | Primary |
Addresses
Primary practice location
2317 Remington Way
Lexington, KY 40511-9236
Mailing address
4173 Bridgemont LN
Lexington, KY 40515-6006
Phone (859) 806-4361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200326003810 | KY | Order and Referring Only - Dentist | 8224467295 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10376 | KY | MD | Marriage & Family Therapist |
| 17643 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental of Virginia, LLC | 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.
-
- General Practice Dentistry
- Richmond, VA
- NPI 1124392451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787443200000",
"number": "1558624569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4173 BRIDGEMONT LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156006",
"telephone_number": "859-806-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 REMINGTON WAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405119236",
"telephone_number": "859-605-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUALSOUD",
"first_name": "ARWA",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2026-08-23",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "17643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; 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.