Active NPI
Mohammed Bazlul Kader, D D S
- Dentist
- Compton, CA
National Provider Identifier
1457543266
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Mar 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56097
- Practice address
- 1570 W Rosecrans Ave
Compton, CA 90220-1001 - Phone
- (951) 662-7490
- NPI assigned
- Aug 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 56097 | CA | Primary |
Addresses
Primary practice location
1570 W Rosecrans Ave
Compton, CA 90220-1001
Mailing address
3900 Park View Lane Apt#31D
Irvine, CA 92612
Phone (909) 894-2858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56097 | Other | CA | DENTAL LICENCE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56097 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohammed B.Kader DDS,PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Compton, CA
- NPI 1487907283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1457543266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 PARK VIEW LANE APT#31D",
"city": "IRVINE",
"state": "CA",
"postal_code": "92612",
"telephone_number": "909-894-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 W ROSECRANS AVE",
"city": "COMPTON",
"state": "CA",
"postal_code": "902201001",
"telephone_number": "951-662-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADER",
"first_name": "MOHAMMED",
"middle_name": "BAZLUL",
"credential": "D D S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENCE",
"identifier": "56097",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.