Awwad & Khasati DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AWWAD & KHASATI DDS INC

Practice address

44066 Margarita Rd
Suite #1
Temecula, CA 92592

Phone

(951) 742-7774

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shadi Kamel Khasati, DDSNPI 1104978147

Title

Partner in the Corporate

Phone

(909) 213-5196

Specialties & licenses 2

Addresses

Other names 1

• Awwad Husein Khasati Semrien DDS Inc Former legal business name

Locations

Practitioners 1

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

• Shadi Kamel Khasati, D.D.S.

  • Dentist
  • Temecula, CA
  • NPI 1104978147
  NPD (past) Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1972751402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 VIA PESCA NERO",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44066 MARGARITA RD",
            "address_2": "SUITE #1",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-742-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWWAD & KHASATI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KHASATI",
        "authorized_official_first_name": "SHADI",
        "authorized_official_middle_name": "KAMEL",
        "authorized_official_title_or_position": "PARTNER IN THE CORPORATE",
        "authorized_official_telephone_number": "909-213-5196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awwad Husein Khasati Semrien DDS Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Avondale HME 3, Inc.
• Avondale HME, Inc.
• Amanda Awad
• Gamal Awad
• Emmanuel Awdishu, MD
• Maher Awwad, DDS
• Nagehan Ayakta, MD
• Ana Ayala
• Cambria Rose Ayala, FNP
• Marco Arturo Ayala, DPT

• Dentist in Temecula, CA
• Providers in Temecula, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.