Fadi B Ibsies, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8695 Issued in OR

Practice address

18750 Willamette Dr
Suite B-2
West Linn, OR 97068-1700

Phone

(503) 607-2222

NPI assigned

Jan 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548310469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 SW TONY CT",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233509",
            "telephone_number": "503-607-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18750 WILLAMETTE DR",
            "address_2": "SUITE B-2",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681700",
            "telephone_number": "503-607-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBSIES",
        "first_name": "FADI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Howard
• Christine Marie Hughes, PT
• Aaron Shawn Humberston, D.C.
• Lee Hutson, PHD
• Patrick Iaboni, D.C., B.SC.
• Jiseon Ihn, MSW
• Integrated Labs
• Intermission Massage Studio
• Intuitive Body-Werx
• Anca Mirela Ivan, PSYD

• General Practice Dentistry in West Linn, OR
• Providers in West Linn, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.