Kais Chebbi, DDS
Individual provider Active NPI Dentist · Paramount, CA
NPI 1801285200 · NPPES record last updated Jan 22, 2015
Key facts
- NPI
- 1801285200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 44849 (CA)
- Practice address
- 16260 Paramount Blvd
G
Paramount, CA 90723-5448 - Phone
- (562) 633-5070
- Fax
- (562) 633-8270
- NPI assigned
- Jan 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44849 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kais Chebbi D.D.S. Inc. | Past | Accepting new patients | |
| Kais Chebbi DDS,Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 44849 | CA | Yes |
Addresses
Primary practice location
16260 Paramount Blvd
G
Paramount, CA 90723-5448
Mailing address
16260 Paramount Blvd
G
Paramount, CA 90723-5448
Phone (562) 633-5070
Other providers in Paramount, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.