Individual provider Active NPI

MHD Amer Allaymouni

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colonial Heights, VA
National Provider Identifier
1679971857
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401414705 Issued in VA
Practice address
723 Southpark Blvd Ste F
Colonial Heights, VA 23834-3628
Phone
(804) 504-0012
NPI assigned
Dec 19, 2014
Last updated
Dec 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401414705 VA Primary

Addresses

Primary practice location

723 Southpark Blvd Ste F
Colonial Heights, VA 23834-3628

Mailing address

2662 Sheridan Dr Apt 2
Tonawanda, NY 14150-9449
Phone (716) 650-8439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401414705VAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1679971857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 SHERIDAN DR APT 2",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509449",
            "telephone_number": "716-650-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SOUTHPARK BLVD STE F",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343628",
            "telephone_number": "804-504-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAYMOUNI",
        "first_name": "MHD AMER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401414705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.