Organization Active NPI

Ihab Andrawess DMD

  • Dentist
  • Palo Alto, CA
National Provider Identifier
1215597927
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IHAB ANDRAWESS DMD
Practice address
655 Homer Ave Ste C
Palo Alto, CA 94301-2887
Phone
(650) 838-9400
NPI assigned
Jun 14, 2019
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Dr. Ihab Andrawess, DMD
Title
Director/Owner
Phone
(650) 838-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

655 Homer Ave Ste C
Palo Alto, CA 94301-2887

Mailing address

655 Homer Ave Ste C
Palo Alto, CA 94301-2887
Phone (650) 838-9400

National Provider Directory

National Provider Directory

Locations

655 Homer Ave
Ste C
Palo Alto, CA 94301
Phone (650) 838-9400

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1215597927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 HOMER AVE STE C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012887",
            "telephone_number": "650-838-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 HOMER AVE STE C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012887",
            "telephone_number": "650-838-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHAB ANDRAWESS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "ANDRAWESS",
        "authorized_official_first_name": "IHAB",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "650-838-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.