Abd Al Hadi Kawaiah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0160134209 Issued in VT

Practice address

340 Dorset St
South Burlington, VT 05403-6306

Phone

(469) 434-9908

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 3D Dental & Orthodotics LLC

  • Clinic/Center
  • South Burlington, VT
  • NPI 1902661325
  NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1962282665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DORSET ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036306",
            "telephone_number": "469-434-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DORSET ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036306",
            "telephone_number": "469-434-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAIAH",
        "first_name": "ABD AL HADI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "0160134209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kasper, RN
• Sara Kassel, MSW
• Katarzyna Dionne DMD, PC (Sprucewood Dental Associates, PC)
• Adam Matthew Katchky, MD
• Kate Anger Counseling LLC
• Kci USA, Inc. (Solventum Advanced Wound Care)
• Nicole Kearney, ND
• Clara M Keegan, MD
• Kelley Pharmacy Inc (Custom Prescription Shoppe)
• Lisa Kelley, C.N.M.

• General Practice Dentistry in South Burlington, VT
• Providers in South Burlington, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.