Karim Chaddad, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401411750 Issued in VA

Practice address

392 Garrisonville Rd
Unit 205
Stafford, VA 22554-1500

Phone

(205) 563-2229

NPI assigned

Dec 13, 2006

Last updated

Dec 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1982765822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N HIGHLAND ST",
            "address_2": "UNIT 725",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012176",
            "telephone_number": "205-563-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 GARRISONVILLE RD",
            "address_2": "UNIT 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541500",
            "telephone_number": "205-563-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDAD",
        "first_name": "KARIM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401411750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centers for Advanced ENT Care, LLC
• Centers for Advanced ENT Care, LLC
• Central Virginia Orthopaedics & Sports Medicine, PC
• Century Pediatrics, Inc
• Joan E Cephas, LCSW, LICSW
• Traci Chafin, COTA
• Tiffani Nicole Chamblin
• Champ Home Care, LLC
• Eric Su-Ming Chang, M.D.
• Emma Grace Chapple

• Periodontics in Stafford, VA
• Providers in Stafford, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.