Active NPI
Mohamed Selim
- Dentist
- Harrisonburg, VA
National Provider Identifier
1760835326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415341
- Practice address
- 1855 E Market St Ste 201
Harrisonburg, VA 22801-5101 - Phone
- (540) 513-4500
- NPI assigned
- Jul 19, 2016
- Last updated
- Mar 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415341 | VA | Primary |
Addresses
Primary practice location
1855 E Market St Ste 201
Harrisonburg, VA 22801-5101
Mailing address
1855 E Market St Ste 201
Harrisonburg, VA 22801-5101
Phone (540) 513-4500
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161219002205 | VA | Order and Referring Only - Dentist | 1052692662 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415341 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1760835326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 E MARKET ST STE 201",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228015101",
"telephone_number": "540-513-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 E MARKET ST STE 201",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228015101",
"telephone_number": "540-513-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIM",
"first_name": "MOHAMED",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-19",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.