Active NPI
Irene Awad
- Dentist
- Downey, CA
National Provider Identifier
1053647198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58972
- Practice address
- 8653 Florence Ave
Downey, CA 90240-4032 - Phone
- (562) 417-1688
- NPI assigned
- Oct 24, 2009
- Last updated
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 58972 | CA | Primary |
Addresses
Primary practice location
8653 Florence Ave
Downey, CA 90240-4032
Mailing address
PO Box 1787
Huntington Beach, CA 92647-1787
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moller&Irenedmd, Inc | Current | Accepting new patients | |
| Donna J. Woo, D.D.S. Inc. | Current | Accepting new patients | |
| Jeffrey Chu, DDS, Inc. | Dentist | Past | Accepting new patients |
| Samet DDS, Inc. | Past | Accepting new patients | |
| Rosecrans Dental Group | Past | Accepting new patients | |
| Western Dental Services, Inc. | Dentist | Past | Accepting new patients |
Locations
420 S State College Blvd
Anaheim, CA 92806
Phone (714) 772-0770
Interoperability endpoints
- imokriy@direct.westerndental.com
Organizations & group practices 6
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.
-
- Dental Clinic/Center
- Fountain Valley, CA
- NPI 1073255626
-
- General Practice Dentistry
- Bellflower, CA
- NPI 1457486649
-
- General Practice Dentistry
- Bellflower, CA
- NPI 1306105077
-
- Dentist
- La Puente, CA
- NPI 1659435154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1053647198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1787",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926471787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8653 FLORENCE AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902404032",
"telephone_number": "562-417-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "IRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-24",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.