Active NPI
Awad Kamil, BDS,MSC,MFDRCSI
- Pediatric Dentistry
- South Riding, VA
National Provider Identifier
1699135590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401415793
- Practice address
- 43130 Amberwood PLZ Ste 230
South Riding, VA 20152-4110 - Phone
- (703) 996-3520
- NPI assigned
- Mar 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401415793 | VA | Primary |
Addresses
Primary practice location
43130 Amberwood PLZ Ste 230
South Riding, VA 20152-4110
Mailing address
4000 NW 51 St App B25
Lacke Crossing
Gainesville, FL 32606
Phone (301) 979-1809
Other practice location 1
1395 Center Dr
Gainesville, FL 32610
Phone (352) 273-7643
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415793 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royal Oak Surgical Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- akamil1134031@direct.hfhs.org
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 and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Royal Oak, MI
- NPI 1073818654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699135590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 NW 51 ST APP B25",
"address_2": "LACKE CROSSING",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32606",
"telephone_number": "301-979-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43130 AMBERWOOD PLZ STE 230",
"city": "SOUTH RIDING",
"state": "VA",
"postal_code": "201524110",
"telephone_number": "703-996-3520"
}
],
"practiceLocations": [
{
"address_1": "1395 Center Dr",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "32610",
"country_code": "US",
"telephone_number": "352-273-7643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMIL",
"first_name": "AWAD",
"name_prefix": "Dr.",
"credential": "BDS,MSC,MFDRCSI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401415793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Riding, VA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.