Fadi Saleh, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401412669 Issued in VA

Practice address

12662 Lake Ridge Dr a
Lake Ridge, VA 22192-7507

Phone

(703) 491-5166

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Lake Ridge Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbridge, VA
  • NPI 1659675122
  NPD (past) Authorized official
• Norman S. Levy, D.D.S., LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbridge, VA
  • NPI 1639281744
  NPD (past)
• Perfect Smiles Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alexandria, VA
  • NPI 1528728383
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1962569525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12662 LAKE RIDGE DR STE A",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221927507",
            "telephone_number": "703-491-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12662 LAKE RIDGE DR A",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221927507",
            "telephone_number": "703-491-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6303 Little River Tpke Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223125045",
            "country_code": "US",
            "telephone_number": "703-750-0147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEH",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "7018",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401412669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andy Joseph Roussel, D.P.M.
• Rayan Kamal Salih, PHARMD, RPH
• Mark L Scripps
• Sentara Medical Group
• Sentara Medical Group
• Serenity Women'S Healthcare LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Lake Ridge, VA
• Providers in Lake Ridge, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.