Sara Ibrahim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401415756 Issued in VA

Practice address

2333 N 6TH St
Grand Junction, CO 81501-2001

Phone

(970) 255-1782

NPI assigned

Mar 9, 2016

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1942661582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 DUKE ST APT 109",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042952",
            "telephone_number": "304-419-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012001",
            "telephone_number": "970-255-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415756",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Marie Hutchins, DDS
• Tracy L Hutchinson, MA
• Kevin Huynh
• Ousaphea Hymas Samkara, M.S.O.M., L.AC.
• Allan Hymas, D.D.S.
• Identity Insights LLC
• Identity Insights LLC
• Ihc Health Services Inc (Intermountain Women's Health Clinic-Grand Junction)
• Imagine Better Therapy LLC
• Rachelle Lynn Imlay

• General Practice Dentistry in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.