Individual provider Active NPI

Arwa Abualsoud, D.M.D

  • Dentist
  • Lexington, KY
National Provider Identifier
1558624569
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17643 Issued in KY
Practice address
2317 Remington Way
Lexington, KY 40511-9236
Phone
(859) 605-5173
NPI assigned
Jun 25, 2012
Last updated
Aug 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003810 KY Order and Referring Only - DentistPractitioner - Dentist 8224467295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10376KYMDMarriage & Family Therapist
17643KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.