Individual provider Active NPI

Kalee Abu-Ghazaleh, DDS

  • Pediatric Dentistry
  • Sioux Falls, SD
National Provider Identifier
1891441440
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D1445 Issued in SD
Practice address
6908 S Lyncrest PL
Sioux Falls, SD 57108-2565
Phone
(605) 275-5771
NPI assigned
Feb 22, 2022
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30.026849 OH
Pediatric Dentistry 1223P0221X D1445 SD Primary

Addresses

Primary practice location

6908 S Lyncrest PL
Sioux Falls, SD 57108-2565

Mailing address

1622 S 5TH Ave
Sioux Falls, SD 57105-2006
Phone (605) 212-3687

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
30.026849OHMDPediatric Dentist
D1445SDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Christensen Pediatric Dentistry Pediatric Dentistry CurrentSince Jul 28, 2024 Accepting new patients
Aeschlimann Pediatric Dentistry, Inc. Pediatric Dentistry PastSince Jul 28, 2024 Accepting new patients

Locations

6908 S Lyncrest Pl
Sioux Falls, SD 57108
Phone (605) 275-5771

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, 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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1891441440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S 5TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052006",
            "telephone_number": "605-212-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 S LYNCREST PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082565",
            "telephone_number": "605-275-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-GHAZALEH",
        "first_name": "KALEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.026849",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SD",
            "license": "D1445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.