Organization Active NPI

Henry Abraham DDS Inc

  • Dentist
  • Temecula, CA
National Provider Identifier
1235540766
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HENRY ABRAHAM DDS INC
Practice address
29049 Overland Dr Ste C
Temecula, CA 92591-3637
Phone
(951) 506-4900
Fax
(951) 506-4955
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Dr. Henry Abraham, DDSNPI 1174682421
Title
President
Phone
(951) 204-7325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

29049 Overland Dr Ste C
Temecula, CA 92591-3637

Mailing address

29049 Overland Dr Ste C
Temecula, CA 92591-3637
Phone (951) 506-4900

National Provider Directory

National Provider Directory

Locations

29049 Overland Dr
Ste C
Temecula, CA 92591
Phone (951) 506-4900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1235540766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29049 OVERLAND DR STE C",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913637",
            "telephone_number": "951-506-4900",
            "fax_number": "951-506-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29049 OVERLAND DR STE C",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913637",
            "telephone_number": "951-506-4900",
            "fax_number": "951-506-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY ABRAHAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-204-7325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.