NPIMap

Organization Active NPI

Ghareeb and Ghareeb, DDS, PC

  • Dentist
  • South Charleston, WV
National Provider Identifier
1790990638
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GHAREEB AND GHAREEB, DDS, PC
Practice address
1203 Jefferson Rd
South Charleston, WV 25309-9732
Phone
(304) 744-3333
Fax
(304) 744-8245
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Steven Amos Ghareeb, DDSNPI 1285678284
Title
Dentist
Phone
(304) 744-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1203 Jefferson Rd
South Charleston, WV 25309-9732

Mailing address

1203 Jefferson Rd
South Charleston, WV 25309-9732
Phone (304) 744-3333

Other identifiers 1

IdentifierTypeStateIssuer
381-000-4849MedicaidWV

Other names 1

  • Ghareeb Dental Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Ghareeb and Ghareeb DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1203 Jefferson Rd
South Charleston, WV 25309
Phone (304) 744-3333

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1790990638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 JEFFERSON RD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253099732",
            "telephone_number": "304-744-3333",
            "fax_number": "304-744-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 JEFFERSON RD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253099732",
            "telephone_number": "304-744-3333",
            "fax_number": "304-744-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAREEB AND GHAREEB, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "GHAREEB",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "AMOS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-744-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381-000-4849",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ghareeb Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.