Individual provider Active NPI

Ashraf Yasien Adam, DDS

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1902042641
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413742 Issued in VA
Practice address
6316 Castle PL Ste 201
Falls Church, VA 22044-1906
Phone
(703) 237-7777
Fax
(703) 533-2036
NPI assigned
Dec 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401413742 VA Primary
Dentist 122300000X 10400 MA

Addresses

Primary practice location

6316 Castle PL Ste 201
Falls Church, VA 22044-1906

Mailing address

275 Nichols Rd
Fitchburg, MA 01420-1919
Phone (978) 878-8300

Other identifiers 1

IdentifierTypeStateIssuer
1320815MedicaidMA

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

LicenseStateTypeSpecialty
10400MAMDDentist
0401413742VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Dental PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1902042641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201919",
            "telephone_number": "978-878-8300",
            "fax_number": "978-665-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 CASTLE PL STE 201",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441906",
            "telephone_number": "703-237-7777",
            "fax_number": "703-533-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "ASHRAF",
        "middle_name": "YASIEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413742",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "10400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320815",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.