Active NPI
Ghina Morad, DMD, a Professional Corporation
- General Practice Dentistry
- Redwood City, CA
National Provider Identifier
1962428359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49149
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ghina Morad, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231103002404 | CA | DME Supplier - Oral Surgery - Dentist | 6507213162 | Practice locations: Redwood City, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Redwood City, CA
- NPI 1659774123
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.