Tesfaye Hailemariam, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410490 Issued in VA

Practice address

85 S Bragg St
Suite 300
Alexandria, VA 22312-2797

Phone

(703) 256-7711

Fax

(703) 256-6226

NPI assigned

Aug 11, 2006

Last updated

Jul 9, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tesfaye a Hailemariam DDS PC

  dba Addismile

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1659827871
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851302012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220090141",
            "telephone_number": "703-256-7711",
            "fax_number": "703-256-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST",
            "address_2": "SUITE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-256-7711",
            "fax_number": "703-256-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEMARIAM",
        "first_name": "TESFAYE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T Hahn, MD
• Esubalew G Haile
• Lydia Haile, PA
• Nolawit Haile, MPT
• Amanuel Haileab
• Naomi Hailmaskel, OTR/L
• Hailu Tilahun Hailu, M.D.
• Haime LLC (N/a)
• Carmella D Haines, FNP-C
• Mary8 A. Halas, PHD

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.