Active NPI
Nabeel Awad Joseph, DDS
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1477610582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42406
- Practice address
- 1515 W Shaw Ave Ste 101
Fresno, CA 93711-3514 - Phone
- (559) 227-1700
- Fax
- (559) 227-0767
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42406 | CA | Primary |
Addresses
Primary practice location
1515 W Shaw Ave Ste 101
Fresno, CA 93711-3514
Mailing address
1515 W Shaw Ave Ste 101
Fresno, CA 93711-3514
Phone (559) 227-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42406-01 | Other | CA | DENTICAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42406 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nabeeljosephdds,Inc | General Practice | Past | Accepting new patients |
| Sorour Kids Dental Group, Inc | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba St.Goerge Family Dental
- General Practice Dentistry
- Fresno, CA
- NPI 1437455722
-
- General Practice Dentistry
- Fresno, CA
- NPI 1558936062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1477610582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W SHAW AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113514",
"telephone_number": "559-227-1700",
"fax_number": "559-227-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W SHAW AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113514",
"telephone_number": "559-227-1700",
"fax_number": "559-227-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "NABEEL",
"middle_name": "AWAD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "42406-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.