Omar Abdel-Rahim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106459 Issued in CA

Practice address

5075 S Bradley Rd Ste 101
Santa Maria, CA 93455-5077

Phone

(805) 934-7705

NPI assigned

Jul 4, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Orcutt Hills Dental Studio

  • Dentist
  • Santa Maria, CA
  • NPI 1720796055
  NPD Authorized official
• Hamlet Karapetian Dental Corp.

  dba Friendly Smiles Dental

  • General Practice Dentistry
  • Santa Maria, CA
  • NPI 1649658204
  NPD (past)

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1801467535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 SOMBRILLO",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201441",
            "telephone_number": "805-574-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 S BRADLEY RD STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555077",
            "telephone_number": "805-934-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1338 Santa Rosa St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934013780",
            "country_code": "US",
            "telephone_number": "805-543-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1670 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934547602",
            "country_code": "US",
            "telephone_number": "805-928-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDEL-RAHIM",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-04",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Medi Mobility
• A.T. Still University - College for Healthy Communities
• Romansa Abayon
• Kim R. Abbananto, LMFT #42108
• Isabelle Abboud
• Ahmed Abdelaziz Abdelaziz, MD
• Abilities for Kids, Inc.
• Joseph E. Abraham, RPH
• Joseph A Abram, M.D.
• Pamela Marian Abramowicz, ARNP

• General Practice Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.