Mazin Alayssami

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8416 Issued in VA

Practice address

13873 Park Center Rd
Herndon, VA 20171-3223

Phone

(703) 478-0115

NPI assigned

Jan 2, 2007

Last updated

Feb 14, 2013By the provider in NPPES

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

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

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.

• Manassas Dental and Cosmetics DMD PLLC

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1497602452
  NPD Authorized official
• Mazin S. Alayssami DMD, PLLC

  dba Fairfax Dental and cosmetics

  • Dental Clinic/Center
  • Fairfax, VA
  • NPI 1053106740
  NPD Authorized official
• Mazin Alayssami, DMD & Associates PC

  • General Practice Dentistry
  • Herndon, VA
  • NPI 1861559171
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1598822371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13873 PARK CENTER RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713223",
            "telephone_number": "703-478-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13873 PARK CENTER RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713223",
            "telephone_number": "703-478-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAYSSAMI",
        "first_name": "MAZIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "8416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olusegun Akintunde, BT
• Taiba Al Saidi
• Al-Karagholi Dentistry of Herndon, PC
• Miriam Al-Keliddar, DDS
• Alafia Group Home LLC
• Alexander Chiropractic Neurology Center (Alexander Chiropractic Center)
• Alexandra M. Hegerle, DDS, PLLC
• Fadi Alhrashi, DDS
• Aleena Ali
• Farrah Alkeliddar

• General Practice Dentistry in Herndon, VA
• Providers in Herndon, 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 Feb 14, 2013; 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.