Christine Noel Al-Khouri, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

65140 Issued in CA

Practice address

435 4TH Ave
San Diego, CA 92101-6234

Phone

(918) 513-2140

NPI assigned

Jun 9, 2014

Last updated

Dec 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449360000000",
    "number": "1205249018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016234",
            "telephone_number": "918-513-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016234",
            "telephone_number": "918-513-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHOURI",
        "first_name": "CHRISTINE",
        "middle_name": "NOEL",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2015-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6577",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Al-Basam
• Jaafar Al-Dahwi, MD
• Louie Al-Faraje, DDS
• Fulla Falah Al-Fawadi
• Eaman Adnan Al-Hassan, MD
• Lana Tahsin Al-Omar, PHARMD
• Harier Al-Rifaie
• Al-Saadi Taka Dental Corporation
• Eman Al-Sharif
• Tara Al-Taan, LMFT

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.