Marwa Issa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418633 Issued in VA

Practice address

109 Clearview Rd
Madison Heights, VA 24572-2600

Phone

(434) 929-1400

NPI assigned

Sep 7, 2023

Last updated

May 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnson Health Center

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1316926538
  Medicare reassignment NPD
• Dental Professionals of Virginia, P.C.

  dba Blue Mountain Dental Care

  • General Practice Dentistry
  • Winchester, VA
  • NPI 1417675109
  NPD
• Johnson Health Center

  dba Amherst County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, VA
  • NPI 1972858660
  NPD

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1689450249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W EDGE WAY APT 3109",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025858",
            "telephone_number": "929-353-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CLEARVIEW RD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722600",
            "telephone_number": "434-929-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E Jubal Early Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226015178",
            "country_code": "US",
            "telephone_number": "540-360-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSA",
        "first_name": "MARWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418633",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independant Life Styles
• Indian Health Service Monacan Service Unit Monacan Health Center (Monacan Health Center)
• Indian Health Service Monacan Service Unit Monacan Health Center (IHS Monacan Health Center Pharmacy)
• Indian Health Service Richmond Service Unit (Monacan Health Center Tribal Pharmacy)
• Indian Health Service Richmond Service Unit (Monacan Health Center)
• Albert Kenneth Jabbour, PA
• Johnson Health Center (Amherst County Community Health Pharmacy)
• Johnson Health Center (James River Dental Clinic)
• Johnson Health Center (Amherst County Community Health Center)
• J'NA Johnson

• General Practice Dentistry in Madison Heights, VA
• Providers in Madison Heights, 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 21, 2025; 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.