Individual provider Active NPI

Adel Mrihil

  • Dentist
  • College Place, WA
National Provider Identifier
1922542026
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60677983 Issued in WA
Practice address
2356 Taumarson Rd
College Place, WA 99324-1300
Phone
(509) 303-9581
NPI assigned
Dec 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60677983 WA Primary

Addresses

Primary practice location

2356 Taumarson Rd
College Place, WA 99324-1300

Mailing address

3630 S Sepulveda Blvd Apt 1-208
Los Angeles, CA 90034-6809
Phone (805) 280-9942

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
60677983WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Line PLLC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1922542026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 S SEPULVEDA BLVD APT 1-208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346809",
            "telephone_number": "805-280-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 TAUMARSON RD",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241300",
            "telephone_number": "509-303-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRIHIL",
        "first_name": "ADEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60677983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.