Individual provider Active NPI

Abdullah Mohammed Salih, DDS

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1033972781
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109855 Issued in CA
Practice address
11120 Stockdale Hwy Ste 103
Bakersfield, CA 93311-3680
Phone
(661) 665-0080
NPI assigned
Feb 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109855 CA Primary

Addresses

Primary practice location

11120 Stockdale Hwy Ste 103
Bakersfield, CA 93311-3680

Mailing address

1909 Delacorte Dr
Bakersfield, CA 93311-1760
Phone (913) 313-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240525000156 CA Order and Referring Only - DentistPractitioner - Dentist 2365884020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phi Huynh and Bryan Watanabe Dental Corporation PastSince Feb 11, 2024 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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1033972781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 DELACORTE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111760",
            "telephone_number": "913-313-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 STOCKDALE HWY STE 103",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113680",
            "telephone_number": "661-665-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIH",
        "first_name": "ABDULLAH",
        "middle_name": "MOHAMMED",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.