Active NPI
Irene Said Kamal
- Dentist
- Brea, CA
National Provider Identifier
1295467553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108571
- Practice address
- 2500 E Imperial Hwy
Brea, CA 92821-6122 - Phone
- (714) 990-2299
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 108571 | CA | Primary |
Addresses
Primary practice location
2500 E Imperial Hwy
Brea, CA 92821-6122
Mailing address
20307 Brook Run PL
Germantown, MD 20876-6023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230509001997 | CA | Order and Referring Only - Dentist | 5890151294 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108571 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1295467553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20307 BROOK RUN PL",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208766023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E IMPERIAL HWY",
"city": "BREA",
"state": "CA",
"postal_code": "928216122",
"telephone_number": "714-990-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMAL",
"first_name": "IRENE",
"middle_name": "SAID",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.