Abdullah Mahgoub, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416648 Issued in VA

Practice address

2843 Hartland Rd Ste 250
Falls Church, VA 22043-3543

Phone

(703) 854-9176

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By 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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Mahgoub DDS PLLC

  dba Loudoun Innovative Dentistry

  • General Practice Dentistry
  • Sterling, VA
  • NPI 1053145508
  NPD (past) Authorized official

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1912551458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 HARTLAND RD STE 250",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 HARTLAND RD STE 250",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433543",
            "telephone_number": "703-854-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHGOUB",
        "first_name": "ABDULLAH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Mahaney, MD
• Maryam Mahdi
• Sadia Mahedavi
• Jennifer G. Maher, MD
• Surbhi Maheshwari, M.D.
• Zeshan Mahmood, PHARMD
• Guy Joseph Mahoney, PH.D., LCSW, BCD
• Judith Cunningham Mahoney, NP
• Jenny Chuong Mai, MD
• Trinh Mai

• General Practice Dentistry in Falls Church, VA
• Providers in Falls Church, 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 Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.