Individual provider Active NPI

Abeer Khatib

  • Dentist
  • Temecula, CA
National Provider Identifier
1982059515
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101732 Issued in CA
Practice address
41238 Margarita Rd Ste 103
Temecula, CA 92591-5552
Phone
(951) 699-4440
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101732 CA Primary

Addresses

Primary practice location

41238 Margarita Rd Ste 103
Temecula, CA 92591-5552

Mailing address

533 S Sorrel St
Ridgecrest, CA 93555-5314

Other practice location 1

5901 East Seventh Street
VA Long Beach
long beach, CA 90822
Phone (562) 826-8000

Other practice location 2

1845 N Fair Oaks Ave
Pasadena, CA 91103-1620
Phone (626) 817-9708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101732CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Papworth and Henriod Dental Corp PastSince Jan 26, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abar.khatibdds.p1@direct.jwch.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1982059515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S SORREL ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41238 MARGARITA RD STE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915552",
            "telephone_number": "951-699-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 East Seventh Street",
            "address_2": "VA Long Beach",
            "address_purpose": "LOCATION",
            "city": "long beach",
            "state": "CA",
            "postal_code": "90822",
            "country_code": "US",
            "telephone_number": "562-826-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1845 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911031620",
            "country_code": "US",
            "telephone_number": "626-817-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "ABEER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.