Active NPI
Abeer Khatib
- Dentist
- Temecula, CA
National Provider Identifier
1982059515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 101732
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 101732 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Papworth and Henriod Dental Corp | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Practice Dentistry
- Temecula, CA
- NPI 1295677961
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.