Individual provider Active NPI

Marwa Hamidi, DDS

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1740893064
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401417425 Issued in VA
Practice address
6303 Little River Tpke Ste 140
Alexandria, VA 22312-5045
Phone
(703) 256-7700
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 0401417425 VA Primary

Addresses

Primary practice location

6303 Little River Tpke Ste 140
Alexandria, VA 22312-5045

Mailing address

6303 Little River Tpke Ste 140
Alexandria, VA 22312-5045
Phone (703) 256-7700

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
0401417425VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Virginia, P.C. General Practice CurrentSince Jul 17, 2022 Accepting new patients

Locations

6303 Little River Tpke
Ste 140
Alexandria, VA 22312
Phone (703) 256-7700

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1740893064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 140",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125045",
            "telephone_number": "703-256-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 140",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125045",
            "telephone_number": "703-256-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDI",
        "first_name": "MARWA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.