Individual provider Active NPI

Abby Gail Shalaby

  • General Practice Dentistry
  • El Cerrito, CA
National Provider Identifier
1730676875
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122584 Issued in GA
Practice address
170 El Cerrito PLZ
El Cerrito, CA 94530-4002
Phone
(628) 444-8975
NPI assigned
Apr 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DR60854921 WA
General Practice Dentistry 1223G0001X DN122584 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 103459 CA

Addresses

Primary practice location

170 El Cerrito PLZ
El Cerrito, CA 94530-4002

Mailing address

775 Juniper St NE
Atlanta, GA 30308-2256
Phone (628) 444-8975

Other practice location 1

1701 San Pablo Ave
Oakland, CA 94612-1507
Phone (510) 452-2424

Other practice location 2

1701 San Pablo Ave
Oakland, CA 94612-1507
Phone (510) 452-2424

Other practice location 3

999 Peachtree St NE Ste 700
Atlanta, GA 30309-3964
Phone (678) 904-8750

Other practice location 4

490 Post St Ste 323
San Francisco, CA 94102-1404
Phone (628) 444-8975

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
103459CAMDGeneral Practice Dentistry
DN122584GAMDGeneral Practice Dentistry
DR60854921WAMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1730676875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 JUNIPER ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082256",
            "telephone_number": "628-444-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 EL CERRITO PLZ",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304002",
            "telephone_number": "628-444-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121507",
            "country_code": "US",
            "telephone_number": "510-452-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121507",
            "country_code": "US",
            "telephone_number": "510-452-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Peachtree St NE Ste 700",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093964",
            "country_code": "US",
            "telephone_number": "678-904-8750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 Post St Ste 323",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941021404",
            "country_code": "US",
            "telephone_number": "628-444-8975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALABY",
        "first_name": "ABBY GAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "DR60854921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122584",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.