Active NPI
Abeer A. Hafez, D.D.S.,M.S.
- Endodontics
- Visalia, CA
National Provider Identifier
1013113059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 51073
- Practice address
- 1104 N Chinowth St
Visalia, CA 93291-4113 - Phone
- (559) 625-9043
- Fax
- (559) 625-9058
- NPI assigned
- Jun 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 51073 | CA | Primary |
Addresses
Primary practice location
1104 N Chinowth St
Visalia, CA 93291-4113
Mailing address
1104 N Chinowth St
Visalia, CA 93291-4113
Phone (559) 625-9043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 13, 2015 through Oct 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51073 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013113059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 N CHINOWTH ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914113",
"telephone_number": "559-625-9043",
"fax_number": "559-625-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 N CHINOWTH ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914113",
"telephone_number": "559-625-9043",
"fax_number": "559-625-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFEZ",
"first_name": "ABEER",
"middle_name": "A.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "51073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.