Barsoum Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44145 Issued in CA

Legal business name

BARSOUM DENTAL CORP

Practice address

14613 Ramona Ave
Chino, CA 91710

Phone

(909) 902-1708

Fax

(909) 902-1709

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Maher Labib Barsoum, DDS

Title

Chief Executive Officer

Phone

(909) 902-1708

Specialties & licenses 5

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karim Barsoum, DDS

  • General Practice Dentistry
  • Upland, CA
  • NPI 1386363448
  NPD (past)
• Michael M. Le, D.D.S

  • Dentist
  • Long Beach, CA
  • NPI 1013131440
  NPD (past)
• James C Lin, DMD

  • Endodontics
  • Chino, CA
  • NPI 1376064105
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1730696519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14613 RAMONA AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-902-1708",
            "fax_number": "909-902-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14613 RAMONA AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-902-1708",
            "fax_number": "909-902-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARSOUM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "LABIB",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-902-1708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "57231",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44145",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "64229",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "64108",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "61000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Allen Legacy Foundation
• Carlene Barbosa
• Jacqueline Adriana Barbosa, PA-C
• Veronica Scheele Baron-Vartian, LCSW, PPSC
• Ronni Barrios
• Isabelle Fahmi Barsoum Sr., AMFT
• Shala Monaa Battle, FNP
• Bautista Family Foot Clinic
• Christopher C Bautista
• BDP Hospice & Palliative Care, Inc.

• General Practice Dentistry in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.