Individual provider Active NPI

Mosheer Al-Khalayleh, DDS

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1073703468
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47836 Issued in CA
Practice address
1830 28TH St
Bakersfield, CA 93301-1904
Phone
(661) 326-8536
Fax
(661) 326-8511
NPI assigned
Jul 31, 2007
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47836 CA Primary

Addresses

Primary practice location

1830 28TH St
Bakersfield, CA 93301-1904

Mailing address

201 China Grade Loop
Bakersfield, CA 93308-1707
Phone (661) 393-4333

Other identifiers 1

IdentifierTypeStateIssuer
D47836MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
47836CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Salama and Alkhalayleh Dental Corporation Dentist Past Accepting new patients
Salama & Alkhalayleh Dental Corp Dentist Past Accepting new patients
Salama & Alkhalayleh Dental Corp Dentist PastSince Apr 30, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1073703468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHINA GRADE LOOP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081707",
            "telephone_number": "661-393-4333",
            "fax_number": "661-393-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011904",
            "telephone_number": "661-326-8536",
            "fax_number": "661-326-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHALAYLEH",
        "first_name": "MOSHEER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D47836",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.