Active NPI
Hana Tag Elsir Hamza Mohamed, BDS
- General Practice Dentistry
- Culpeper, VA
National Provider Identifier
1861179947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401419081
- Practice address
- 723 James Madison Hwy
Culpeper, VA 22701-2428 - Phone
- (540) 618-3112
- NPI assigned
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401419081 | VA | Primary |
Addresses
Primary practice location
723 James Madison Hwy
Culpeper, VA 22701-2428
Mailing address
9604 Lagersfield Cir
Vienna, VA 22181-6179
Phone (571) 435-3819
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419081 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vivadent PLLC | General Practice | Current | Accepting new patients |
| Mak PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- King George, VA
- NPI 1528927233
-
- General Practice Dentistry
- Winchester, VA
- NPI 1356068365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723248000000",
"number": "1861179947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9604 LAGERSFIELD CIR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221816179",
"telephone_number": "571-435-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 JAMES MADISON HWY",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227012428",
"telephone_number": "540-618-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "HANA",
"middle_name": "TAG ELSIR HAMZA",
"name_prefix": "Dr.",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2024-08-10",
"certification_date": "2024-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401419081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culpeper, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.