Individual provider Active NPI

Abu-Bakr El-Masry

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1780042135
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415982 Issued in VA
Practice address
2970 Prince William Pkwy
Woodbridge, VA 22192-4145
Phone
(703) 583-7720
NPI assigned
Jan 31, 2016
Last updated
Dec 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401415982 VA Primary

Addresses

Primary practice location

2970 Prince William Pkwy
Woodbridge, VA 22192-4145

Mailing address

2970 Prince William Pkwy
Woodbridge, VA 22192-4145
Phone (703) 583-7720

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
0401415982VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elmasry Dental PLLC General Practice Current Accepting new patients
Elhady Dental 2 PLLC PastSince Oct 1, 2020 Accepting new patients
Hicham Mekouar DDS PC PastSince Oct 1, 2020 Accepting new patients

Locations

2970 Prince William Pkwy
Woodbridge, VA 22192
Phone (703) 583-7720

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1780042135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 PRINCE WILLIAM PKWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924145",
            "telephone_number": "703-583-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 PRINCE WILLIAM PKWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924145",
            "telephone_number": "703-583-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-MASRY",
        "first_name": "ABU-BAKR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-31",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.