Individual provider Active NPI

Nourah Abdul Kader, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albany, CA
National Provider Identifier
1457041550
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
111242 Issued in CA
Practice address
591 San Pablo Ave
Albany, CA 94706-1126
Phone
(313) 447-9606
NPI assigned
May 11, 2023
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 111242 CA Primary

Addresses

Primary practice location

591 San Pablo Ave
Albany, CA 94706-1126

Mailing address

591 San Pablo Ave Apt 639
Albany, CA 94706-1126
Phone (313) 447-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111242CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nourah Abdul Kader, DMD, Ms, Inc Orthodontics and Dentofacial Orthopedics CurrentSince Jun 15, 2025 Accepting new patients
Bridgeport Smiles General Practice PastSince May 1, 2023 Accepting new patients

Locations

591 San Pablo Ave
Albany, CA 94706
Phone (313) 447-9606

591 San Pablo Ave
Apt 639
Albany, CA 94706

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1457041550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 SAN PABLO AVE APT 639",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061126",
            "telephone_number": "313-447-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061126",
            "telephone_number": "313-447-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL KADER",
        "first_name": "NOURAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "111242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.