Manal K Abdelkarim, DDS – Dentist

Key facts

NPI: 1912299595
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 54560 (CA)
Practice address: 7319 Milliken Ave
Suite 110
Rancho Cucamonga, CA 91730-6794
Phone: (909) 945-3650
NPI assigned: May 13, 2011
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Hsieh and Abdelkarim Dental Corporation General Practice Dentistry · Rancho Cucamonga, CA · NPI 1770928632

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150820012494	CA	Order and Referring Only - Dentist Practitioner - Dentist	9537474408

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Hsieh and Abdelkarim Dental Corporation		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	54560	CA	Yes

Addresses

Primary practice location

7319 Milliken Ave
Suite 110
Rancho Cucamonga, CA 91730-6794

Mailing address

5916 Pebble Hill CT
Rancho Cucamonga, CA 91739-2609
Phone (909) 565-5211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 25, 2014.

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1912299595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 PEBBLE HILL CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392609",
            "telephone_number": "909-565-5211",
            "fax_number": "909-920-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 MILLIKEN AVE",
            "address_2": "SUITE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306794",
            "telephone_number": "909-945-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELKARIM",
        "first_name": "MANAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

All providers in Rancho Cucamonga, CA · Dentist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.