Individual provider Active NPI

Ahmed Haitham Yousif Sheikh Qader

  • Dentist
  • Chapel Hill, NC
National Provider Identifier
1669101325
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110818 Issued in CA
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

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220705003179 NC Order and Referring Only - DentistPractitioner - Dentist 0547640799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110818CAMDDentist
12745NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.