Hamzeh Al Qublan

Primary specialty

DentistTaxonomy code 122300000X

License

0401416102 Issued in VA

Practice address

25 Northridge LN
Lexington, VA 24450-3399

Phone

(434) 851-2352

NPI assigned

Jul 23, 2018

Last updated

Jul 23, 2018By 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

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.

• Rockbridge Area Free Clinic

  dba Rockbridge Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Lexington, VA
  • NPI 1205267002
  NPD (past)

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1649757691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 POYNTZ PL",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502850",
            "telephone_number": "434-851-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NORTHRIDGE LN",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503399",
            "telephone_number": "434-851-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL QUBLAN",
        "first_name": "HAMZEH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Adams, LPC
• Cheri Adkins, SLP
• Wanda S Agnor
• Chelsey Aistrop
• Kennedy A. Akwo, PHARM.D
• Angela Algire, PA
• Amy Allen, SLP
• Lynne Carol Altenburg, LCSW
• Americare Plus , LLC. (AmeriCare Plus - Lexington)
• Americare Plus, LLC. (AmeriCare Plus - Lexington)

• Dentist in Lexington, VA
• Providers in Lexington, VA by specialty
• Dentist in Virginia

• 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.
• 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.