Individual provider Active NPI

Awad Kamil, BDS,MSC,MFDRCSI

  • Pediatric Dentistry
  • South Riding, VA
National Provider Identifier
1699135590
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401415793 Issued in VA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0401415793VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Oak Surgical Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.