Abousheta Family Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ABOUSHETA FAMILY DENTAL GROUP

Practice address

4482 Barranca Pkwy Ste 102
Irvine, CA 92604-4744

Phone

(949) 786-7800

NPI assigned

Jan 3, 2020

Last updated

Jan 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tarek Abousheta, DDS MSNPI 1659714194

Title

President

Phone

(314) 853-5642

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tarek Abousheta, DDS

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1659714194
  NPD Authorized official

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1194364430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY STE 102",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044744",
            "telephone_number": "949-786-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY STE 102",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044744",
            "telephone_number": "949-786-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUSHETA FAMILY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "ABOUSHETA",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-853-5642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maha Abouelela
• Elham Abouhamzeh, PSY.D
• Ferial Abouhamzeh
• Mohamed Bassel Abouricheh
• Abousheta Dental Corporation (Irvine orthodontics)
• Tarek Abousheta, DDS
• Kareem Aboutalib, D.O.
• Abraham Ghorbanian Mobile Dental Corp (Aava Dental of Long Beach)
• Dominique Joseph Abraham
• Margaret Abraham, FNP-C

• Pediatric Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.