NPIMap

Organization Active NPI

Wiam Jabbar, D.D.S.,Inc.

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1386274579
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WIAM JABBAR, D.D.S.,INC.
Doing business as
Carmel Village Dental
Practice address
12125 Alta Carmel CT Ste 330
San Diego, CA 92128-3841
Phone
(858) 451-0908
Fax
(858) 451-1880
NPI assigned
Jan 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Dr. Wiam Jabbar, DDSNPI 1063596435
Title
Owner/Dentist
Phone
(858) 451-0908

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12125 Alta Carmel CT Ste 330
San Diego, CA 92128-3841

Mailing address

12125 Alta Carmel CT Ste 330
San Diego, CA 92128-3841
Phone (858) 451-0908

Other names 1

  • Carmel Village Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12125 Alta Carmel Ct
Ste 330
San Diego, CA 92128
Phone (858) 451-0908

Practitioners & affiliated clinicians

Practitioners 2

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": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1386274579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 ALTA CARMEL CT STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283841",
            "telephone_number": "858-451-0908",
            "fax_number": "858-451-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 ALTA CARMEL CT STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283841",
            "telephone_number": "858-451-0908",
            "fax_number": "858-451-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIAM JABBAR, D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "JABBAR",
        "authorized_official_first_name": "WIAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "858-451-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Village Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmel Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.