Active NPI
Nardine Hana Wassef, D.D.S
- Dentist
- Carlsbad, CA
National Provider Identifier
1164839809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63647
- Practice address
- 2620 El Camino Real Ste a
Carlsbad, CA 92008-1255 - Phone
- (760) 552-8834
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63647 | CA | Primary |
Addresses
Primary practice location
2620 El Camino Real Ste a
Carlsbad, CA 92008-1255
Mailing address
653 Avenida Sevilla Unit D
Laguna Woods, CA 92637-4515
Phone (909) 680-1193
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63647 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1164839809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 AVENIDA SEVILLA UNIT D",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926374515",
"telephone_number": "909-680-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 EL CAMINO REAL STE A",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081255",
"telephone_number": "760-552-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSEF",
"first_name": "NARDINE",
"middle_name": "HANA",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.