Haytham Mohamed Adel Abbas, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53744 Issued in CA

Practice address

3880 Truxel Rd Ste 600
Sacramento, CA 95834-3615

Phone

(916) 333-2700

Fax

(916) 515-8209

NPI assigned

Jan 12, 2007

Last updated

Feb 5, 2019By the provider in NPPES

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

Interoperability endpoints

• Direct secure messaging: habbas@direct.westerndental.com

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.

• Abbas Dental Corporation

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1942675848
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1881745347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 HAWKVIEW WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957579323",
            "telephone_number": "916-384-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 TRUXEL RD STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343615",
            "telephone_number": "916-333-2700",
            "fax_number": "916-515-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "HAYTHAM",
        "middle_name": "MOHAMED ADEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribelle Abatayo Trinidad
• Lorraine Elizabeth Abate, M.D.
• Michael Jon Abate, MD
• Abbacare at Home Corp (AbbaCare At Home)
• Abbas Dental Corporation
• Ferheen Abbasi
• Reza Abbaszadeh, DDS
• Susan R. Abbott Rogge, NP
• Dominique Abbott
• Gayle Abbott, RN

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, 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 Feb 5, 2019; 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.