NPIMap

Organization Active NPI

Ghareeb & Ghareeb DDS, PC

  • General Practice Dentistry
  • Cross Lanes, WV
National Provider Identifier
1669661609
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3713 Issued in WV
Legal business name
GHAREEB & GHAREEB DDS, PC
Practice address
814 Cross Lanes Dr
Cross Lanes, WV 25313-1334
Phone
(304) 776-4541
Fax
(304) 776-4542
NPI assigned
Oct 16, 2007
Last updated
Aug 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Dr. Mitri A. GhareebNPI 1821165812
Title
Dentist
Phone
(304) 776-4541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3713 WV Primary

Addresses

Primary practice location

814 Cross Lanes Dr
Cross Lanes, WV 25313-1334

Mailing address

814 Cross Lanes Dr
Cross Lanes, WV 25313-1334
Phone (304) 776-4541

National Provider Directory

National Provider Directory
Tax ID family
Ghareeb and Ghareeb DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

814 Cross Lanes Dr
Cross Lanes, WV 25313
Phone (304) 776-4541

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1669661609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 CROSS LANES DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131334",
            "telephone_number": "304-776-4541",
            "fax_number": "304-776-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 CROSS LANES DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131334",
            "telephone_number": "304-776-4541",
            "fax_number": "304-776-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAREEB & GHAREEB DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "GHAREEB",
        "authorized_official_first_name": "MITRI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-776-4541",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Lanes, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.