NPIMap

Organization Active NPI

Wadie Ahwal, D.D.S., Inc.

Doing business as Parkway Dental Group

  • General Practice Dentistry
  • La Mesa, CA
National Provider Identifier
1174882468
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55225 Issued in CA
Legal business name
WADIE AHWAL, D.D.S., INC.
Doing business as
Parkway Dental Group
Practice address
8881 Fletcher Pkwy
Suite 265
La Mesa, CA 91942-3134
Phone
(619) 463-1113
Fax
(619) 463-1249
NPI assigned
May 8, 2012
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Dr. Wadie N Ahwal, D.D.S., INC.NPI 1467502310
Title
Owner
Phone
(619) 463-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55225 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy
Suite 265
La Mesa, CA 91942-3134

Mailing address

8881 Fletcher Pkwy
Suite 265
La Mesa, CA 91942-3134
Phone (619) 463-1113

Other names 1

  • Parkway Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

8881 Fletcher Pkwy
Ste 265
La Mesa, CA 91942
Phone (619) 463-1113

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1174882468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 265",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-463-1113",
            "fax_number": "619-463-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 265",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-463-1113",
            "fax_number": "619-463-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADIE AHWAL, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "AHWAL",
        "authorized_official_first_name": "WADIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-463-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., INC."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.