Pendleton Neighborhood Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENDLETON NEIGHBORHOOD DENTAL, LLC

Practice address

137 Cotesworth St Unit E
Pendleton, SC 29670-9545

Phone

(714) 423-4436

NPI assigned

Mar 7, 2026

Last updated

Mar 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerills Hossam Azer Habashi, DMDNPI 1992417182

Title

Dentist

Phone

(714) 423-4436

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kerills Hossam Azer Habashi

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1992417182
  NPD Authorized official

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

{
    "created_epoch": "1772841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772841600000",
    "number": "1689520140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 COTESWORTH ST UNIT E",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 COTESWORTH ST UNIT E",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709545",
            "telephone_number": "714-423-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON NEIGHBORHOOD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-07",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A",
        "authorized_official_last_name": "AZER HABASHI",
        "authorized_official_first_name": "KERILLS HOSSAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-423-4436",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Ozolins, ATC
• Alison N Peeples, APRN
• Pendleton Area Rescue Squad
• Pendleton Family Practice, LLC
• Pendleton Medical Clinic
• Alekhya Rao, D.M.D.
• Vasantha Rao, DMD DENTIST
• Rathompson in (O'Boutique Luxury Optical)
• Recreate Life
• Amber T. Reeves, P.T.

• General Practice Dentistry in Pendleton, SC
• Providers in Pendleton, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; 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.