Hubiin M Hailu, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

19095 Issued in MD

Practice address

11654 Plaza America Dr # 163
Reston, VA 20190-4700

Phone

(818) 822-2278

Fax

(818) 822-2278

NPI assigned

May 3, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1760065148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SILVER SPRING AVE APT 702",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11654 PLAZA AMERICA DR # 163",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904700",
            "telephone_number": "818-822-2278",
            "fax_number": "818-822-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3421 Benson Ave Ste G100",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212271134",
            "country_code": "US",
            "telephone_number": "410-417-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAILU",
        "first_name": "HUBIIN",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "MD",
            "license": "19095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Haddock, LPC
• Christina Hagemeier
• Hyunhee Hahn, RPH
• Yasaman Haidarbaigi
• Samuel Teferra Haile, MD
• Colin Haines, MD
• Robert G. Hall, D.D.S.
• Haroon Imran Hameed, M.D.
• Jeffrey M Hamilton, PA
• Jennifer Hamilton, M.D.

• Dental Anesthesiology in Reston, VA
• Providers in Reston, VA by specialty
• Dental Anesthesiology in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.