Individual provider Active NPI

Kais Chebbi, DDS

  • Dentist
  • Paramount, CA
National Provider Identifier
1801285200
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44849 Issued in CA
Practice address
16260 Paramount Blvd
G
Paramount, CA 90723-5448
Phone
(562) 633-5070
Fax
(562) 633-8270
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44849 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44849CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kais Chebbi DDS,Inc. Past Accepting new patients
Kais Chebbi D.D.S. Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1801285200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 PARAMOUNT BLVD",
            "address_2": "G",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235448",
            "telephone_number": "562-633-5070",
            "fax_number": "562-633-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 PARAMOUNT BLVD",
            "address_2": "G",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235448",
            "telephone_number": "562-633-5070",
            "fax_number": "562-633-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBBI",
        "first_name": "KAIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.