Individual provider Active NPI

Rasha Jamal Hussein, DDS

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1609361849
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416115 Issued in VA
Practice address
12701 Galveston CT
Manassas, VA 20112
Phone
(703) 670-0202
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416115 VA Primary

Addresses

Primary practice location

12701 Galveston CT
Manassas, VA 20112

Mailing address

12109 Polo Dr Apt 122
Fairfax, VA 22033-4025
Phone (202) 644-3784

Other practice location 1

12109 Polo Dr Apt 122
Fairfax, VA 22033-4025
Phone (202) 644-3784

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

LicenseStateTypeSpecialty
0401416115VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac River Orthodontics PLLC PastSince Apr 23, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1609361849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 POLO DR APT 122",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334025",
            "telephone_number": "202-644-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 GALVESTON CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20112",
            "telephone_number": "703-670-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12109 Polo Dr Apt 122",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220334025",
            "country_code": "US",
            "telephone_number": "202-644-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "RASHA",
        "middle_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.