Tesfaye a Hailemariam DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410490 Issued in VA

Legal business name

TESFAYE A HAILEMARIAM DDS PC

Practice address

5764 Dow Ave
Alexandria, VA 22304

Phone

(703) 256-7711

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Tesfaye Hailemariam, DDSNPI 1851302012

Title

Owner/Dentist

Phone

(703) 256-7711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Addismile Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tesfaye Hailemariam, D.D.S.

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1851302012
  NPD (past) Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1659827871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220090141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 DOW AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-256-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESFAYE A HAILEMARIAM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "HAILEMARIAM",
        "authorized_official_first_name": "TESFAYE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "703-256-7711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104989",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addismile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tender Hearts Healthcare
• Edward Terry
• Kia Lasheka Terry
• Meseret Kebede Tesemma I
• Sarah Tesfamariam
• Rebekah Tesfaye, PHARMD
• Tesfaye Tetemke, MD
• Jeremy Chad Teter, BCBA
• Jonathan Teumer, LCSW
• Selam Merry Tewolde

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.