Wiam Jabbar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

48575 Issued in CA

Practice address

12125 Alta Carmel CT Ste 330
San Diego, CA 92128-3841

Phone

(858) 451-0908

Fax

(858) 596-2110

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Wiam A Abduljabbar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wajabbar@direct.westerndental.com

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.

• Wiam Jabbar, D.D.S.,Inc.

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1386274579
  NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1063596435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 ALTA CARMEL CT STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283841",
            "telephone_number": "858-451-0908",
            "fax_number": "858-451-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 ALTA CARMEL CT STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283841",
            "telephone_number": "858-451-0908",
            "fax_number": "858-596-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBAR",
        "first_name": "WIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WIAM",
            "last_name": "ABDULJABBAR",
            "middle_name": "A",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dilaram S Jabari
• Mona Lisa Jabari
• Carol Jabasa, RDN
• Mary Ann Jabat
• Sawaira Jabbar
• Siavash Jabbari, MD
• Alex Nicholas Jabbour, MS
• Moussa Jabbour, M.D.
• Charles Kasmir Jablecki, M.D.
• Amanda Jablon, LCSW

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.