Abdallah Abdelkarim Saleh Al-Oweidi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401417073 Issued in VA

Practice address

8904 W Broad St Ste 202
Henrico, VA 23294-5826

Phone

(804) 716-5430

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Practice roles

Locations

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.

• CMH Physician Services, LLC

  • Internal Medicine Physician
  • South Hill, VA
  • NPI 1194760645
  Medicare reassignment NPD
• CMH Physician Services, LLC

  • Hospitalist Physician
  • South Hill, VA
  • NPI 1386028793
  NPD
• Ideal Dental Care , Inc

  • Preferred Provider Organization
  • North Chesterfield, VA
  • NPI 1780045849
  NPD (past)
• Ideal Smile LLC

  • General Practice Dentistry
  • Henrico, VA
  • NPI 1629581715
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1841809969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E MARSHALL ST APT 228",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237384",
            "telephone_number": "773-954-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 W BROAD ST STE 202",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232945826",
            "telephone_number": "804-716-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 Midlothian Tpke",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232355115",
            "country_code": "US",
            "telephone_number": "804-918-9667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-OWEIDI",
        "first_name": "ABDALLAH",
        "middle_name": "ABDELKARIM SALEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahcc I, LLC (AfterHours Pediatrics-West End)
• Jenna Ahlin, PT, DPT
• Jennifer Clarke Ainsworth, PHARM.D.
• Ali Aitabdellah, AA
• Al I/Richmond Senior Housing, LLC (Sunrise of Richmond)
• Adesewa Alade
• Museif Alallouch
• Nancy Lim Alalong, FNP-BC
• Sarah E Albani
• Melissa D Albright, AUD

• Dentist in Henrico, VA
• Providers in Henrico, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.