Active NPI
Abdelrouf Otman Suwid, B.D.S
- Periodontics
- Manassas, VA
National Provider Identifier
1972819043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DL11050
- Practice address
- 8209 Sudley Rd
Manassas, VA 20109-3507 - Phone
- (571) 260-6222
- Fax
- (703) 938-2052
- NPI assigned
- Aug 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DL11050 | VA | Primary |
Addresses
Primary practice location
8209 Sudley Rd
Manassas, VA 20109-3507
Mailing address
8209 Sudley Rd
Manassas, VA 20109-3507
Phone (571) 260-6222
Other practice location 1
208 Elden St Ste 200
Herndon, VA 20170-4836
Phone (571) 485-9050
Other practice location 2
3000 10th St N
Arlington, VA 22201-2162
Phone (571) 319-8090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL11050 | VA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Affordable Dental Implant | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1972819043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8209 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201093507",
"telephone_number": "571-260-6222",
"fax_number": "703-938-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8209 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201093507",
"telephone_number": "571-260-6222",
"fax_number": "703-938-2052"
}
],
"practiceLocations": [
{
"address_1": "208 Elden St Ste 200",
"address_purpose": "LOCATION",
"city": "Herndon",
"state": "VA",
"postal_code": "201704836",
"country_code": "US",
"telephone_number": "571-485-9050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 10th St N",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222012162",
"country_code": "US",
"telephone_number": "571-319-8090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUWID",
"first_name": "ABDELROUF",
"middle_name": "OTMAN",
"name_prefix": "Dr.",
"credential": "B.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-26",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "DL11050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.