Hadi Ghazzouli, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS037658 Issued in PA

Practice address

1377 Old York Rd
Abington, PA 19001

Phone

(215) 884-3032

NPI assigned

Oct 21, 2008

Last updated

Aug 12, 2019By 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 PA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C & G Dental, KLC

  dba Abington Dental Care

  • General Practice Dentistry
  • Abington, PA
  • NPI 1023388998
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1013169143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013411",
            "telephone_number": "215-884-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-884-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Union Station Plz",
            "address_2": "Dr. Hadi Ghazzouli-Dental Clinic",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151281",
            "country_code": "US",
            "telephone_number": "215-880-6067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZZOULI",
        "first_name": "HADI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice M Geiger, MSN, CRNP,PNP-BC
• Genesis Healthcare
• Joshua Gentry, D.D.S.
• Kristen Gerard, CRNP
• Carol Gerhard-Lynn, CRNP
• Benjamin D Giancaterino Jr., PAC
• Emma Gibson
• Regina F Gilbert, AGACNP, CRNP
• Loren Seth Gildar, MA, MT-BC, LAPC
• Patrick Gill, MD

• Dentist in Abington, PA
• Providers in Abington, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.