NPIMap

Organization Active NPI

H Ibrahim Dental Corporation

Doing business as Anthem Dental

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1407171374
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54287 Issued in CA
Legal business name
H IBRAHIM DENTAL CORPORATION
Doing business as
Anthem Dental
Practice address
32065 Temecula Pkwy Ste C.
Temecula, CA 92592
Phone
(951) 302-9300
Fax
(951) 303-1822
NPI assigned
Apr 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. Henry Abraham, DDS
Title
Owner Dentist
Phone
(951) 204-7325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44107 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 54287 CA Primary

Addresses

Primary practice location

32065 Temecula Pkwy Ste C.
Temecula, CA 92592

Mailing address

32065 Temecula Pkwy Ste C.
Temecula, CA 92592
Phone (951) 302-9300

Other names 1

  • Anthem Dental Doing business as

National Provider Directory

National Provider Directory

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": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1407171374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32065 TEMECULA PKWY STE C.",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-302-9300",
            "fax_number": "951-303-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32065 TEMECULA PKWY STE C.",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-302-9300",
            "fax_number": "951-303-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H IBRAHIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "951-204-7325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44107",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthem Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 19, 2014; 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.