Active NPI
Manal K Abdelkarim, DDS
- Dentist
- Rancho Cucamonga, CA
National Provider Identifier
1912299595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54560
- Practice address
- 7319 Milliken Ave
Suite 110
Rancho Cucamonga, CA 91730-6794 - Phone
- (909) 945-3650
- NPI assigned
- May 13, 2011
- Last updated
- Jul 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 54560 | CA | Primary |
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820012494 | CA | Order and Referring Only - Dentist | 9537474408 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hsieh and Abdelkarim Dental Corporation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rancho Cucamonga Smiles Dentistry Dental Group
- General Practice Dentistry
- Rancho Cucamonga, CA
- NPI 1770928632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.