Ghias K Jabbour, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8531 Issued in OR

Practice address

6909 N Loop 1604 E Ste 1010
San Antonio, TX 78247-5305

Phone

(210) 653-4867

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1790768661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21303 ENCINO COMMONS APT 509",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 N LOOP 1604 E STE 1010",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475305",
            "telephone_number": "210-653-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBOUR",
        "first_name": "GHIAS",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023014",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J&R Vaughn Enterprises, Inc
• Ja Hospice Inc
• Khalil Wafic Jaafar, PHARMACIST
• Nour Myriam Jaafar
• Mariam Jabaly, MD
• Toleen Jaber
• Aaron Yusuf Jabir, MD
• Jacek R. Jablonski, M.D.
• Ashley Jabs
• Teodorico H. Jaceldo, M.D.

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.