Carolyn G Ghazal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38682 Issued in CA

Practice address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009

Phone

(714) 508-3600

Fax

(714) 368-2092

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ghazal and Hsieh Dental Corporation

  dba Winery Estate Dental Group

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1629173547
  Authorized official Same address or phone
• Ghazal Dental Corporation

  dba N. Rancho Cucamonga Dental Group

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Cucamonga, CA
  • NPI 1609965458

  General Practice

  NPD (past) Authorized official
• Hivand and Ghazal Dental Corporation

  dba Cathedral City Dental Group

  • General Practice Dentistry
  • Cathedral City, CA
  • NPI 1174618003
  Authorized official Same address or phone

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659383206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10797 FOOTHILL BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303858",
            "telephone_number": "909-581-0888",
            "fax_number": "909-581-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZAL",
        "first_name": "CAROLYN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38682",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeevan Vinayak Ghatnekar, DDS
• Amanda Joy Ghattas
• Niki Ghavam
• Nooshin Ghayoumi, D.D.S.
• Ghazal and Sharifian Dental Corporation (The Dental Office on Red Hill)
• Samia Ghazaleh
• Sayeh Ghazizadeh
• Zahra Ghiasi, MD
• Susan Ghodsi, O.D.
• Ariann Ghorbanian, PSYD

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• 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.