Organization Active NPI

Ideal Smile LLC

  • General Practice Dentistry
  • Henrico, VA
National Provider Identifier
1629581715
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412655 Issued in VA
Legal business name
IDEAL SMILE LLC
Practice address
8904 W Broad St
Ste 202
Henrico, VA 23294
Phone
(804) 716-5430
NPI assigned
Nov 10, 2017
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Ahmed Elkharashi, DOCTORNPI 1962395020
Title
Owner
Phone
(804) 716-5430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412655 VA Primary

Addresses

Primary practice location

8904 W Broad St
Ste 202
Henrico, VA 23294

Mailing address

8904 W Broad St
Ste 202
Henrico, VA 23294
Phone (804) 716-5430

National Provider Directory

National Provider Directory

Locations

8904 W Broad St
Ste 202
Richmond, VA 23294
Phone (804) 716-5430

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1629581715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 W BROAD ST",
            "address_2": "STE 202",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-716-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 W BROAD ST",
            "address_2": "STE 202",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-716-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "ELKHARASHI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-716-5430",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.