Organization Active NPI

S Ghannam DDS Inc

  • General Practice Dentistry
  • Concord, CA
National Provider Identifier
1699981373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44681 Issued in CA
Legal business name
S GHANNAM DDS INC
Doing business as
NET CARE DENTAL SERVICES
Practice address
2550 Almond Ave
Suite 2
Concord, CA 94520-2093
Phone
(925) 676-2273
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Salam Ghannam, DDS
Title
Ceo
Phone
(925) 676-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44681 CA Primary

Addresses

Primary practice location

2550 Almond Ave
Suite 2
Concord, CA 94520-2093

Mailing address

2550 Almond Ave
Suite 2
Concord, CA 94520-2093
Phone (925) 676-2273

Other names 1

  • NET CARE DENTAL SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

2550 Almond Ave
Ste 2
Concord, CA 94520
Phone (925) 676-2273

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699981373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ALMOND AVE",
            "address_2": "SUITE 2",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202093",
            "telephone_number": "925-676-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ALMOND AVE",
            "address_2": "SUITE 2",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202093",
            "telephone_number": "925-676-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S GHANNAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHANNAM",
        "authorized_official_first_name": "SALAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-676-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NET CARE DENTAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.