Active NPI
Ahmed Saadulla, DDS
- General Practice Dentistry
- McLean, VA
National Provider Identifier
1780036871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16561
- Practice address
- 8200 Greensboro Dr Ste 1002
MC Lean, VA 22102-3857 - Phone
- (703) 734-0515
- Fax
- (703) 734-5751
- NPI assigned
- Jul 12, 2016
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16561 | MD | Primary |
Addresses
Primary practice location
8200 Greensboro Dr Ste 1002
MC Lean, VA 22102-3857
Mailing address
4668 Carisbrooke LN
Fairfax, VA 22030-6115
Phone (703) 981-0695
Other practice location 1
1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-6282
Other practice location 2
8316 Arlington Blvd Ste 226
Fairfax, VA 22031-5216
Phone (703) 560-6301
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 |
|---|---|---|---|
| 16561 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James T. Planicka, DDS, PC | General Practice | Past | Accepting new patients |
| Brenda J Young DDS & Marjun Ayati DDS PC | Past | Accepting new patients | |
| Hutchison & Gorman LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Fairfax, VA
- NPI 1588749824
-
- General Practice Dentistry
- Centreville, VA
- NPI 1497820724
-
- General Practice Dentistry
- McLean, VA
- NPI 1811020167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1780036871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4668 CARISBROOKE LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306115",
"telephone_number": "703-981-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 GREENSBORO DR STE 1002",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023857",
"telephone_number": "703-734-0515",
"fax_number": "703-734-5751"
}
],
"practiceLocations": [
{
"address_1": "1 Brookdale Plz",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112123139",
"country_code": "US",
"telephone_number": "718-240-6282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8316 Arlington Blvd Ste 226",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220315216",
"country_code": "US",
"telephone_number": "703-560-6301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAADULLA",
"first_name": "AHMED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-12",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "16561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.