Ahmed Ali Saadoon

Primary specialty

DentistTaxonomy code 122300000X

License

0401417591 Issued in VA

Practice address

5645 Columbia Pike
Falls Church, VA 22041-2867

Phone

(703) 379-1900

NPI assigned

Oct 26, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Malcolm J. Murray DDS

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1235502766
  NPD (past)
• Smile Dental Clinic

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1598044760
  NPD (past)

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1649934639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21786 WILLESDEN JUNCTION TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201669275",
            "telephone_number": "571-722-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 COLUMBIA PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412867",
            "telephone_number": "703-379-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADOON",
        "first_name": "AHMED",
        "middle_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S. Mark Cross, PHD, P.C.
• S&W Seniors Care LLC
• Raisa Saab, MD
• Rima Saad
• Farah Saadeh
• Astrid Ayzza Saavedra, AGACNP-BC
• Leila Saba, D.D.S.
• Ashwini Vinod Sabnis, M.D.
• Mariam Sabonji, PHARMD
• Deborah Sackey, DNP, FNP-BC

• Dentist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.