Lina Mustafa Al Jarrah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416805 Issued in VA

Practice address

8140 Stonewall Shops SQ
Gainesville, VA 20155-3891

Phone

(571) 298-8279

NPI assigned

Feb 6, 2020

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lina.aljarrah@pacden.com

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.

• Dental House

  • Dentist
  • Manassas, VA
  • NPI 1811598428
  NPD (past)
• Dentists of Gainesville, PC

  • Dentist
  • Gainesville, VA
  • NPI 1023546611
  NPD (past)

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1922630052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45716 IMPERIAL SQ APT 216",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201667015",
            "telephone_number": "347-654-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 STONEWALL SHOPS SQ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553891",
            "telephone_number": "571-298-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL JARRAH",
        "first_name": "LINA",
        "middle_name": "MUSTAFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lina.aljarrah@pacden.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8140 Stonewall Shops Sq",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201553891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheikh Aftab, CEO
• Sanjeev Aggarwal, MD
• Mohamed Hassan Ahmed, BCBA
• Vishakha D Ahuja, O.T
• Imani C Akram
• Yusur Al-Tekreeti, DDS
• Albert J Weaver MD (Haymarket Medical Center)
• Sonia Sara Alencherry, M.D.
• Samantha Belle Alexander, MA, CCC-SLP
• Anam Ali

• General Practice Dentistry in Gainesville, VA
• Providers in Gainesville, 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 Feb 6, 2020; 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.