Edward A Longwe

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEN1000625 Issued in DC

Practice address

2041 Georgia Ave NW
Suite 2-B
Washington, DC 20060-0001

Phone

(202) 865-1491

NPI assigned

May 4, 2007

Last updated

Aug 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dulles Oral Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Chantilly, VA
  • NPI 1720486434
  Authorized official Same address or phone
• Dulles Oral Surgical Center

  • Clinic/Center
  • Chantilly, VA
  • NPI 1992011233
  NPD (past) Authorized official
• Dulles Orofacial Surgery

  • Ambulatory Surgical Clinic/Center
  • Chantilly, VA
  • NPI 1467990895
  Authorized official Same address or phone

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1689886640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24805 PINEBROOK RD",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524126",
            "telephone_number": "703-327-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "address_2": "SUITE 2-B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWE",
        "first_name": "EDWARD",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1000625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "087875822",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nirous Longe
• Rachel Lynn Longendyke, MD
• Carol Longmore
• Georgia Katterjohn Longshore, CF-SLP
• Fri Jilla Longtchi, FNP-BC
• Judge Toukem Lontsi
• Ninon Lontsi
• Walters Lontsi
• Leocardia Lontum
• Dounkeng Lonyem

• Oral and Maxillofacial Surgery (Dentist) in Washington, DC
• Providers in Washington, DC by specialty
• Oral and Maxillofacial Surgery (Dentist) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.