Organization Active NPI

Ghina Morad, DMD, a Professional Corporation

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1962428359
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49149 Issued in CA
Legal business name
GHINA MORAD, DMD, A PROFESSIONAL CORPORATION
Practice address
2920 Broadway
Redwood City, CA 94062-1578
Phone
(650) 592-6396
Fax
(650) 592-6421
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Ghina Morad, DMDNPI 1659774123
Title
President & Officer
Phone
(650) 592-6396

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49149 CA Primary

Addresses

Primary practice location

2920 Broadway
Redwood City, CA 94062-1578

Mailing address

2920 Broadway
Redwood City, CA 94062-1578
Phone (650) 592-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231103002404 CA DME Supplier - Oral Surgery - Dentist 6507213162 Practice locations: Redwood City, CA

National Provider Directory

National Provider Directory

Locations

1785 San Carlos Ave
Ste 2B
San Carlos, CA 94070
Phone (650) 549-1964

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1962428359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 BROADWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621578",
            "telephone_number": "650-592-6396",
            "fax_number": "650-592-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 BROADWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621578",
            "telephone_number": "650-592-6396",
            "fax_number": "650-592-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHINA MORAD, DMD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "MORAD",
        "authorized_official_first_name": "GHINA",
        "authorized_official_title_or_position": "PRESIDENT & OFFICER",
        "authorized_official_telephone_number": "650-592-6396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.