Fawwaz Faiz Alotaibi

Primary specialty

DentistTaxonomy code 122300000X

License

3917-17 Issued in MS

Practice address

6161 Edsall Rd Apt 1608
Alexandria, VA 22304-4141

Phone

(404) 431-9587

NPI assigned

Jun 13, 2017

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

Other names 1

• Fawwaz Alotaibi Professional name

Medicare fee-for-service enrollment

Enrolled in MS

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

State licenses

Practice roles

Locations

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.

• Family Health Center, Inc

  • Clinic/Center
  • Laurel, MS
  • NPI 1760488357

  MS

  Medicare reassignment NPD
• Picardy Kids & Family Cosmetic Dentist

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1578389987
  NPD (past) Authorized official
• Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ellisville, MS
  • NPI 1083255087
  NPD
• Family Health Center, Inc.

  • Primary Care Clinic/Center
  • Laurel, MS
  • NPI 1477919603
  NPD

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669902615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 EDSALL RD APT 1608",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044141",
            "telephone_number": "404-431-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 EDSALL RD APT 1608",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044141",
            "telephone_number": "404-431-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOTAIBI",
        "first_name": "FAWWAZ",
        "middle_name": "FAIZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3917-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAWWAZ",
            "last_name": "ALOTAIBI",
            "credential": "DENTIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nazar E Almakki, MD
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• Rodolfo Ama Alora Jr., PT
• Alpha Bellmont LLC
• Alpha Belmont LLC
• Alpha Belmont LLC
• Alpha Healthcare Services LLC
• Alpha Medical Transport L.L.C.

• All providers in Alexandria, VA
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.