Active NPI
Ahmed Haitham Yousif Sheikh Qader
- Dentist
- Chapel Hill, NC
National Provider Identifier
1669101325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110818
- Practice address
- 113 Ginkgo TRL
Chapel Hill, NC 27516-4672 - Phone
- (619) 212-2159
- NPI assigned
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12745 | NC | |
| Dentist | 122300000X | 110818 | CA | Primary |
Addresses
Primary practice location
113 Ginkgo TRL
Chapel Hill, NC 27516-4672
Mailing address
30035 Haun Rd BLDG B
Menifee, CA 92584-6805
Phone (619) 212-2159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220705003179 | NC | Order and Referring Only - Dentist | 0547640799 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110818 | CA | MD | Dentist |
| 12745 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmed Sheikh Qader DDS, Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Temecula, CA
- NPI 1447136775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1669101325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30035 HAUN RD BLDG B",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925846805",
"telephone_number": "619-212-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 GINKGO TRL",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275164672",
"telephone_number": "619-212-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEIKH QADER",
"first_name": "AHMED",
"middle_name": "HAITHAM YOUSIF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-08",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12745",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.