Individual provider Active NPI

Samer G Jarwa, DDS

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1841367273
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412081 Issued in VA
Practice address
9901 Braddock Rd
Fairfax, VA 22032
Phone
(703) 323-4024
Fax
(703) 323-2048
NPI assigned
Nov 29, 2006
Last updated
Nov 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51081 CA
General Practice Dentistry 1223G0001X 0401412081 VA Primary

Addresses

Primary practice location

9901 Braddock Rd
Fairfax, VA 22032

Mailing address

9901 Braddock Rd
Fairfax, VA 22032
Phone (703) 323-4024

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
51081CAMDGeneral Practice Dentistry
0401412081VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1841367273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 BRADDOCK RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22032",
            "telephone_number": "703-323-4024",
            "fax_number": "703-323-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 BRADDOCK RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22032",
            "telephone_number": "703-323-4024",
            "fax_number": "703-323-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARWA",
        "first_name": "SAMER",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51081",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.