Organization Active NPI

Kashou Dental Group Inc

  • General Practice Dentistry
  • El Cajon, CA
National Provider Identifier
1518610682
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KASHOU DENTAL GROUP INC
Doing business as
Avocado Family Dentistry
Practice address
711 Avocado Ave
El Cajon, CA 92020-6401
Phone
(619) 977-5664
NPI assigned
Jan 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Dr. Sami Steven Kashou, DDSNPI 1255867347
Title
General Dentist
Phone
(619) 977-5664

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

711 Avocado Ave
El Cajon, CA 92020-6401

Mailing address

8508 Meadow Lark LN
Santee, CA 92071-2071
Phone (619) 977-5664

Other names 1

  • Avocado Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

711 Avocado Ave
El Cajon, CA 92020
Phone (619) 440-7000

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": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1518610682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 MEADOW LARK LN",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712071",
            "telephone_number": "619-977-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206401",
            "telephone_number": "619-977-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASHOU DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "KASHOU",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "619-977-5664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avocado Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avocado Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.