Nedda I. Ibrahim, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5920 Issued in NC

Legal business name

NEDDA I. IBRAHIM, DDS

Practice address

1009 Dresser CT
Raleigh, NC 27609-7323

Phone

(919) 873-1313

Fax

(919) 873-1323

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Drabick

Title

Manager

Phone

(919) 873-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nedda Ihsan Ibrahim, D.D.S.

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1649314949
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1750550315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323",
            "telephone_number": "919-873-1313",
            "fax_number": "919-873-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323",
            "telephone_number": "919-873-1313",
            "fax_number": "919-873-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDDA I. IBRAHIM, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "DRABICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-873-1313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994427",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra La Tyce Neal, CRC, LCAS-A
• Lana Nadine Nealand, CRNP
• Margaret Neate
• Beverly Carol Necessary, FNP-BC, AOCNP
• Lyana Doty Nechyba, PHD
• Elizabeth Neel, M.D.
• Ram Neelagiri, MD
• Jeffery King Neer, LCSWA, LCASA
• Erica Wieneke Neff, DMPNA, CRNA
• Kathleen Neff, M.S., CCC-SLP

• Dental Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.