Individual provider Active NPI

Reem Chikh Ibrahim, DMD

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1083448450
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110342 Issued in CA
Practice address
327 S Rancho Santa Fe Rd Ste G
San Marcos, CA 92078-2335
Phone
(760) 744-3333
Fax
(760) 744-3001
NPI assigned
Aug 28, 2024
Last updated
Sep 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 110342 CA Primary

Addresses

Primary practice location

327 S Rancho Santa Fe Rd Ste G
San Marcos, CA 92078-2335

Mailing address

7250 Calle Cristobal Unit 36
San Diego, CA 92126-6060
Phone (619) 306-3954

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
110342CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Asgari Dental P.C. CurrentSince Sep 29, 2024 Accepting new patients
Asgari Dental P.C. PastSince Sep 29, 2024 Accepting new patients

Locations

327 S Rancho Santa Fe Rd
Ste G
San Marcos, CA 92078
Phone (760) 744-3333

Organizations & group practices 2

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1083448450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 CALLE CRISTOBAL UNIT 36",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266060",
            "telephone_number": "619-306-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S RANCHO SANTA FE RD STE G",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782335",
            "telephone_number": "760-744-3333",
            "fax_number": "760-744-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIKH IBRAHIM",
        "first_name": "REEM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.