Individual provider Active NPI

Eman A Ghoneim

  • Dentist
  • Sacramento, CA
National Provider Identifier
1730424193
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61972 Issued in CA
Practice address
8195 Maddie CT
Sacramento, CA 95829-9295
Phone
(916) 753-3533
NPI assigned
Dec 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61972 CA Primary

Addresses

Primary practice location

8195 Maddie CT
Sacramento, CA 95829-9295

Mailing address

8195 Maddie CT
Sacramento, CA 95829-9295
Phone (916) 753-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61972CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hafez and Ghoneim Dental Corp Current Accepting new patients
Hafez and Ghoneim Dental Corp CurrentSince Dec 29, 2024 Accepting new patients

Locations

4850 Marconi Ave
Carmichael, CA 95608
Phone (916) 485-3431

1420 E Roseville Pkwy
Ste 230
Roseville, CA 95661
Phone (916) 788-1114

Interoperability endpoints

  • Direct secure messaging: eghoneim@direct.westerndental.com

Organizations & group practices 2

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1730424193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 MADDIE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299295",
            "telephone_number": "916-753-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8195 MADDIE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299295",
            "telephone_number": "916-753-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHONEIM",
        "first_name": "EMAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.