Active NPI
Radwa M Sobieh, DDS
- Dentist
- Virginia Beach, VA
National Provider Identifier
1700045002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412792
- Practice address
- 2372 Bizzone Cir
Virginia Beach, VA 23464-1522 - Phone
- (763) 221-8110
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2710 | OH | |
| Dentist | 122300000X | 0401412792 | VA | Primary |
Addresses
Primary practice location
2372 Bizzone Cir
Virginia Beach, VA 23464-1522
Mailing address
2372 Bizzone Cir
Virginia Beach, VA 23464-1522
Phone (763) 221-8110
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 |
|---|---|---|---|
| 0401412792 | VA | MD | Dentist |
| 2710 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1700045002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2372 BIZZONE CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234641522",
"telephone_number": "763-221-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2372 BIZZONE CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234641522",
"telephone_number": "763-221-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBIEH",
"first_name": "RADWA",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "2710",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.