Individual provider Active NPI

Engy Farag Halim, DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1881316495
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108001 Issued in CA
Practice address
2955 Van Buren Blvd Ste H4
Riverside, CA 92503-5675
Phone
(951) 689-8544
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108001 CA Primary

Addresses

Primary practice location

2955 Van Buren Blvd Ste H4
Riverside, CA 92503-5675

Mailing address

11755 Malaga Dr Unit 1274
Rancho Cucamonga, CA 91730-8134
Phone (424) 381-8751

Other identifiers 1

IdentifierTypeStateIssuer
1154047975OtherCANPI TYPE II

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805003189 CA Practitioner - Dentist 3476061961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108001CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Engy Halim DDS Inc CurrentSince Jun 17, 2025 Accepting new patients
Vivian Kwon D.D.S. Inc. PastSince Aug 3, 2025 Accepting new patients

Locations

2955 Van Buren Blvd
Ste H4
Riverside, CA 92503
Phone (951) 689-8544

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1881316495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 MALAGA DR UNIT 1274",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308134",
            "telephone_number": "424-381-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VAN BUREN BLVD STE H4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035675",
            "telephone_number": "951-689-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIM",
        "first_name": "ENGY",
        "middle_name": "FARAG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE II",
            "identifier": "1154047975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.