Individual provider Active NPI

Zaid Saad Flayyih Alshammari

  • General Practice Dentistry
  • Fredericksburg, VA
National Provider Identifier
1689304065
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401418165 Issued in VA
Practice address
825 Warrenton Rd
Fredericksburg, VA 22406-3545
Phone
(479) 445-7321
NPI assigned
Jun 16, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401418165 VA Primary

Addresses

Primary practice location

825 Warrenton Rd
Fredericksburg, VA 22406-3545

Mailing address

1525 Lincoln Cir Apt 145
MC Lean, VA 22102-5934
Phone (479) 445-7321

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidVA

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Fredericksburg Direct
CONNECT URL Mechanicsville Direct
CONNECT URL DMD Direct

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
0401418165VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dentalia PLLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1689304065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LINCOLN CIR APT 145",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025934",
            "telephone_number": "479-445-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WARRENTON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224063545",
            "telephone_number": "479-445-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHAMMARI",
        "first_name": "ZAID",
        "middle_name": "SAAD FLAYYIH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fredericksburg",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "825 Warrenton road",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mechanicsville",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7318 Bell Creek Rd",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231113545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DMD",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "825 Warrenton Rd",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224063545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.