Active NPI
Massara Kababchy
- Dentist
- San Diego, CA
National Provider Identifier
1184243636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104673
- Practice address
- 9450 Scranton Rd Ste 109
San Diego, CA 92121-4742 - Phone
- (858) 457-8514
- NPI assigned
- Apr 14, 2020
- Last updated
- Apr 14, 2020
- 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 | 104673 | CA | Primary |
Addresses
Primary practice location
9450 Scranton Rd Ste 109
San Diego, CA 92121-4742
Mailing address
9450 Scranton Rd Ste 109
San Diego, CA 92121-4742
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bdentist@live.com |
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 |
|---|---|---|---|
| 104673 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1184243636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 SCRANTON RD STE 109",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 SCRANTON RD STE 109",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214742",
"telephone_number": "858-457-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABABCHY",
"first_name": "MASSARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104673",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bdentist@live.com",
"affiliation": "N",
"address_1": "9450 Scranton Rd Ste 109",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921214742",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
- K & L Research LLC
- K Kohani D D S a Professional Corporation
- K. Ardjmand, D.D.S., Inc. (modern dentistry)
- K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation (HealthPRO Pediatrics)
- Martha Kaas-Hartmann, RN
- Julia Kabacka, MEDICAL STUDENT
- Dipalee D Kabade
- Kabakibi Medical Corporation
- Ahmad Kabakibi, MD
- Michelle Nikole Kabakibi, DNP, FNP-C, AGNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.