Nile High DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NILE HIGH DDS, LLC

Practice address

891 14TH St Unit 3102
Denver, CO 80202-3277

Phone

(718) 309-9275

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Mohamed Abdel Hakim Ghanem, DDS

Title

Dentist

Phone

(718) 309-9275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1649032715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 14TH ST UNIT 3102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 14TH ST UNIT 3102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023277",
            "telephone_number": "718-309-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILE HIGH DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "HAKIM GHANEM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ABDEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-309-9275",
        "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": []
}

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• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.