Organization Active NPI

Ghias Jabbour D.D.S ,PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1992064919
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23094 Issued in TX
Legal business name
GHIAS JABBOUR D.D.S ,PLLC
Practice address
19179 Blanco Rd Ste 106
San Antonio, TX 78258-4043
Phone
(909) 800-2539
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Dr. Ghias Kaisar Jabbour, D.D.S
Title
President
Phone
(909) 800-2539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23094 TX Primary

Addresses

Primary practice location

19179 Blanco Rd Ste 106
San Antonio, TX 78258-4043

Mailing address

19179 Blanco Rd Ste 106
San Antonio, TX 78258-4043
Phone (909) 800-2539

National Provider Directory

National Provider Directory

Locations

19179 Blanco Rd
Ste 106
San Antonio, TX 78258
Phone (909) 800-2539

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1992064919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19179 BLANCO RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584043",
            "telephone_number": "909-800-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19179 BLANCO RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584043",
            "telephone_number": "909-800-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHIAS JABBOUR D.D.S ,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "JABBOUR",
        "authorized_official_first_name": "GHIAS",
        "authorized_official_middle_name": "KAISAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-800-2539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.