Individual provider Active NPI

Nejleh T. Abed, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1902826183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31438 Issued in CA
Practice address
2016 Forest Ave
Ste.#4
San Jose, CA 95128-4804
Phone
(408) 298-0404
Fax
(408) 298-2233
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31438 CA Primary

Addresses

Primary practice location

2016 Forest Ave
Ste.#4
San Jose, CA 95128-4804

Mailing address

2016 Forest Ave
Ste.#4
San Jose, CA 95128-4804
Phone (408) 298-0404

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
I20160217001275 CA Order and Referring Only - DentistPractitioner - Dentist 3779888466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31438CAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: nabed262265@direct-ucsfmedicalcenter.org

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902826183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 FOREST AVE",
            "address_2": "STE.#4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284804",
            "telephone_number": "408-298-0404",
            "fax_number": "408-298-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 FOREST AVE",
            "address_2": "STE.#4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284804",
            "telephone_number": "408-298-0404",
            "fax_number": "408-298-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABED",
        "first_name": "NEJLEH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.