Snoon Dental Practice of Dr. Wisam Al-Rawi Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SNOON DENTAL PRACTICE OF DR. WISAM AL-RAWI INC.

Practice address

407 W Madison Ave
El Cajon, CA 92020-3226

Phone

(619) 401-0444

NPI assigned

Oct 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Wisam Al-Rawi, DDSNPI 1871888123

Title

Dentist

Phone

(424) 666-8116

Specialties & licenses 1

Addresses

Other names 1

• Snoon Dental Doing business as

Locations

Practitioners 2

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

• Wisam Al-Rawi, DDS

  • Dentist
  • Olympia, WA
  • NPI 1871888123
  NPD (past) Authorized official
• Shlaimon Toma Sawa, DDS

  • Dentist
  • El Cajon, CA
  • NPI 1912098898
  NPD (past)

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1164065421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203226",
            "telephone_number": "619-401-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203226",
            "telephone_number": "619-401-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOON DENTAL PRACTICE OF DR. WISAM AL-RAWI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-19",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "AL-RAWI",
        "authorized_official_first_name": "WISAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "424-666-8116",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snoon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacia N Smith
• Summer Rae Smith
• Tasha Smith
• Tracy Alexandra Smith, DPT
• Ashley Smithey
• Scott Snowden
• Soaring Horizons Therapy Services Licensed Clinical Social Worker PC
• Deana Sobczak
• Angelo Sobingsobing
• Lisa Sokol, LCSW

• Dental Clinic/Center in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.