Organization Active NPI

Hafez and Ghoneim Dental Corp

  • Public Health Dentistry
  • Carmichael, CA
National Provider Identifier
1336642677
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
HAFEZ AND GHONEIM DENTAL CORP
Practice address
4850 Marconi Ave
Carmichael, CA 95608-4111
Phone
(916) 926-0001
Fax
(916) 926-0002
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Dr. Mohamed Hafez Ahmed, DDS
Title
President
Phone
(916) 753-9359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

4850 Marconi Ave
Carmichael, CA 95608-4111

Mailing address

1009 Eastern Ave
Sacramento, CA 95864-5305
Phone (916) 753-9359

Other names 1

  • Tooth berry Kids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hafez and Ghoneim Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1336642677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 EASTERN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645305",
            "telephone_number": "916-753-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 MARCONI AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084111",
            "telephone_number": "916-926-0001",
            "fax_number": "916-926-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAFEZ AND GHONEIM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "HAFEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-753-9359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth berry Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.