Osama S Modjodidi DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

0401410783 Issued in VA

Legal business name

OSAMA S MODJODIDI DMD

Practice address

5101 Princess Anne Rd
Virginia Beach, VA 23462

Phone

(757) 497-8611

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Osama S Modjodidi, DMD

Title

Dentist

Phone

(757) 497-8611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1992867840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 PRINCESS ANNE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-497-8611",
            "fax_number": "757-499-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 PRINCESS ANNE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-497-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAMA S MODJODIDI DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "MODJODIDI",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-497-8611",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "VA",
            "license": "0401410783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Carpenter Ortiz, LPC
• Magdalys Ortiz, AGCNS-BC
• Sarah Asbury Ortiz, FNP
• Saulo S. Ortiz, LCSW
• Aaliyah Oryniak-Bailey
• Heather J Osborne, PT, DPT
• Kirsten Carrell Osborne
• Melody L Osborne, PA-C
• Sarah Lacy Osborne
• Lindsey M Oshel, OTR/L

• Public Health Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Public Health Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.