Joseph Alwan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401414274 Issued in VA

Practice address

30128 Merchant CT
Great Falls, VA 22066-4219

Phone

(210) 410-5764

NPI assigned

Dec 6, 2012

Last updated

Jan 3, 2017By 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 2

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.

• Joseph Alwan, DDS, PLLC

  dba Herndon Healthy Smiles

  • Dentist
  • Herndon, VA
  • NPI 1437696499
  Authorized official Same address or phone
• Lets Smile Cosmetic Dentistry of Fairfax PLLC

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1184348559
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1871838581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30128 MERCHANT CT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220664219",
            "telephone_number": "210-410-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30128 MERCHANT CT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220664219",
            "telephone_number": "210-410-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWAN",
        "first_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59979",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamanna Ahmad, LMSW
• Adhid Alarif
• Jaison William Alderman, PT, DPT
• Alexandria Geriatric Care
• All Smiles Dental, PLLC (Great Falls and Reston Family Dentistry)
• Ams Medical Care, LLC
• Lisa Anderson, O.D.
• Anis Home Care Services LLC
• Annecare, Inc
• Alieh Ardebili

• Dentist in Great Falls, VA
• Providers in Great Falls, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.