Organization Active NPI

Michel Obaid LLC

  • Dental Clinic/Center
  • Allentown, PA
National Provider Identifier
1104389063
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHEL OBAID LLC
Practice address
1131 W Emaus Ave
Allentown, PA 18103-6621
Phone
(484) 274-6880
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Dr. Michel Obaid, DDSNPI 1073874160
Title
Dentist
Phone
(484) 226-0076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1131 W Emaus Ave
Allentown, PA 18103-6621

Mailing address

1131 W Emaus Ave
Allentown, PA 18103-6621
Phone (484) 274-6880

Other identifiers 1

IdentifierTypeStateIssuer
DS039234OtherPALICENSE

Other names 1

  • Emaus Avenue family dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1131 W Emaus Ave
Allentown, PA 18103
Phone (484) 274-6880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1104389063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 W EMAUS AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036621",
            "telephone_number": "484-274-6880",
            "fax_number": "484-221-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 W EMAUS AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036621",
            "telephone_number": "484-274-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL OBAID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "OBAID",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "484-226-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DS039234",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emaus Avenue family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.