Qussay Al Kaissey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

104806 Issued in CA

Practice address

236 Jamacha Rd Ste 101
El Cajon, CA 92019-2366

Phone

(619) 448-7444

Fax

(619) 448-7444

NPI assigned

Feb 19, 2020

Last updated

Aug 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Qussay Al Kaissey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr. Qussay Al Kaissey DDS, Inc.

  dba Lumin Dental

  • General Practice Dentistry
  • El Cajon, CA
  • NPI 1770313173
  NPD Authorized official

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1699308585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 JAMACHA RD STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192366",
            "telephone_number": "619-448-7444",
            "fax_number": "619-448-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 JAMACHA RD STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192366",
            "telephone_number": "619-448-7444",
            "fax_number": "619-448-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL KAISSEY",
        "first_name": "QUSSAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUSSAY",
            "last_name": "AL KAISSEY",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alison Akpik
• Joseph Akronowitz, LCSW
• Saifuldeen Al Baashiki
• Tamara Shaker Al Isso, PHARMD.
• Suhir Al Jairudi
• Omar S Al Nakibb
• Asma Shawky Al Sabag
• Abdulazeez Al Sadoon
• Ahmed Al Shaikhli
• Ahmed Malik Safaa Al Shawwaf, M.D

• Dentist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.