Neehal Gamal Ghoniem, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

61725 Issued in CA

Practice address

838 Nordahl Rd Ste 145
San Marcos, CA 92069-3513

Phone

(760) 480-6700

Fax

(760) 480-6701

NPI assigned

Aug 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1922386473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 TERRAZA MAR MARVELOSA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304675",
            "telephone_number": "954-288-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 145",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693513",
            "telephone_number": "760-480-6700",
            "fax_number": "760-480-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHONIEM",
        "first_name": "NEEHAL",
        "middle_name": "GAMAL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021180",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas Geu
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• Tuan Minh Giang
• Vinah Lemoncito Giblin
• Hannah Gibson
• Eric Charles Giddings, OTR L
• Corinne Giesemann, MD

• Pediatric Dentistry in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.