Joelle Abed Elahad Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOELLE ABED ELAHAD DENTAL CORP

Practice address

27509 Agoura Rd Ste 200
Agoura Hills, CA 91301-5149

Phone

(805) 300-4421

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Joelle Abed Elahad, DDSNPI 1770935660

Title

President

Phone

(805) 300-4421

Specialties & licenses 1

Addresses

Other names 1

• The Smile Spa Doing business as

Locations

Practitioners 1

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

• Joelle Abed Elahad, DDS

  • Dentist
  • Saint Clair Shores, MI
  • NPI 1770935660
  NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1164097945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27509 AGOURA RD STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015149",
            "telephone_number": "805-300-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27509 AGOURA RD STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015149",
            "telephone_number": "805-300-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOELLE ABED ELAHAD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "ABED ELAHAD",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-300-4421",
        "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": "The Smile Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Jan, MD
• Jeremy S. Bass, M.D., a Medical Corporation
• Jerold T. Litoff, a Professional Corp.
• Jie Ji
• Tracy Still Jimenez, M.P.H., R.D.
• John M. Abajian DDS a Dental Corporation
• John M. Abajian DDS a Dental Corporation
• Bobbie Lynn Johnson
• Kelly D Johnson, D.C.
• Kirby Van Johnson, D.C.

• Dental Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, 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 May 24, 2021; 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.