Georges Traboulsi, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401413344 Issued in VA

Practice address

5419 Backlick Rd.
C
Springfield, VA 22151

Phone

(703) 256-8554

Fax

(703) 256-1029

NPI assigned

Mar 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Georges Traboulsi Other name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rosenman-Brendmoen & Associates PLLC

  • Periodontics
  • Springfield, VA
  • NPI 1174542328
  NPD (past)

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1760624613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 BACKLICK RD.",
            "address_2": "C",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22151",
            "telephone_number": "703-256-8554",
            "fax_number": "703-256-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 BACKLICK RD.",
            "address_2": "C",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22151",
            "telephone_number": "703-256-8554",
            "fax_number": "703-256-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABOULSI",
        "first_name": "GEORGES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401413344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGES",
            "last_name": "TRABOULSI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Toomey
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• Dinh Dinh Tran
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• Hien Tran, COTA
• Minhthu Tran

• Periodontics in Springfield, VA
• Providers in Springfield, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.