Organization Active NPI

Noureldin Shoreibah DDS Inc

  • Endodontics
  • Huntington Beach, CA
National Provider Identifier
1952929333
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
NOURELDIN SHOREIBAH DDS INC
Doing business as
The Endo House
Practice address
7677 Center Ave Ste 210
Huntington Beach, CA 92647-9103
Phone
(747) 227-4100
Fax
(714) 551-9318
NPI assigned
Jul 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Authorized official

Name
Dr. Noureldin Hussein Shoreibah, DDSNPI 1952698474
Title
Owner/Endodontist
Phone
(415) 412-8963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

7677 Center Ave Ste 210
Huntington Beach, CA 92647-9103

Mailing address

7677 Center Ave Ste 210
Huntington Beach, CA 92647-9103
Phone (747) 227-4100

Other identifiers 1

IdentifierTypeStateIssuer
60461OtherCACALIFORNIA DENTAL BOARD

Other names 1

  • The Endo House Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594425600000",
    "number": "1952929333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE STE 210",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479103",
            "telephone_number": "747-227-4100",
            "fax_number": "714-551-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE STE 210",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479103",
            "telephone_number": "747-227-4100",
            "fax_number": "714-551-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURELDIN SHOREIBAH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-11",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "SHOREIBAH",
        "authorized_official_first_name": "NOURELDIN",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "415-412-8963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD",
            "identifier": "60461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Endo House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.