Active NPI
Abdulrahman Al-Ehmeli, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Richmond, VA
National Provider Identifier
1609181593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0442000122
- Practice address
- 521 N 11TH St
Wood Memorial Building 3-311
Richmond, VA 23298-5045 - Phone
- (804) 828-3584
- NPI assigned
- Aug 16, 2010
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Dentist
- Richmond, VA
- NPI 1790877504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0442000122 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry Vcu | Past | Accepting new patients |
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0442000122 | VA | Primary |
Addresses
Primary practice location
521 N 11TH St
Wood Memorial Building 3-311
Richmond, VA 23298-5045
Mailing address
PO Box 980566
Oral and Maxillofacial Surgery
Richmond, VA 23298-0566
Phone (804) 628-6637
NPI Registry JSON
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1609181593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980566",
"address_2": "ORAL AND MAXILLOFACIAL SURGERY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980566",
"telephone_number": "804-628-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N 11TH ST",
"address_2": "WOOD MEMORIAL BUILDING 3-311",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985045",
"telephone_number": "804-828-3584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-EHMELI",
"first_name": "ABDULRAHMAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-16",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0442000122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.