Dr. Qussay Al Kaissey DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. QUSSAY AL KAISSEY DDS, INC.

Practice address

236 Jamacha Rd Ste 101
El Cajon, CA 92019-2366

Phone

(619) 448-7444

Fax

(619) 448-7147

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Qussay Al Kaissey, DDSNPI 1699308585

Title

Owner/Dentist

Phone

(619) 448-7444

Specialties & licenses 1

Addresses

Other names 1

• Lumin Dental Doing business as

Practitioners 1

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

• Qussay Al Kaissey, DDS

  • Dentist
  • El Cajon, CA
  • NPI 1699308585
  NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1770313173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 JAMACHA RD STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192366",
            "telephone_number": "619-448-7444",
            "fax_number": "619-448-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 JAMACHA RD STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192366",
            "telephone_number": "619-448-7444",
            "fax_number": "619-448-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. QUSSAY AL KAISSEY DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "AL KAISSEY",
        "authorized_official_first_name": "QUSSAY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "619-448-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumin Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in El Cajon, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.