Assefa Tesega Demewoz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413725 Issued in VA

Practice address

7746 Gunston PLZ
Lorton, VA 22079-1897

Phone

(703) 348-6969

Fax

(540) 808-1580

NPI assigned

Sep 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Assefa Demewoz DDS PLLC

  • Dental Clinic/Center
  • Lorton, VA
  • NPI 1205338118
  NPD (past) Authorized official

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1932458007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 GUNSTON PLZ",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791897",
            "telephone_number": "703-348-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 GUNSTON PLZ",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791897",
            "telephone_number": "703-348-6969",
            "fax_number": "540-808-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEWOZ",
        "first_name": "ASSEFA",
        "middle_name": "TESEGA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15176",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413725",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dariyan Home Care LLC
• Robyn H Datiles
• Ashley Davidson, RDH
• Christopher Davis
• Melanie Elaine Demaria, DMD
• Dental Professionals of Virginia, P.C
• Karambir S Deo, DPT
• Dependable Homecare Apex Partners LLC
• Berhanu Dessie
• Navneet Dhillon, DDS

• General Practice Dentistry in Lorton, VA
• Providers in Lorton, 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 Apr 10, 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.