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

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

Other identifiers 1

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 and National Provider Directory roles.

• Tesfaye a Hailemariam DDS PC

  • 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104989",
            "state": "VA"
        }
    ],
    "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
• 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.