NPIMap

Organization Active NPI

A Khalil DDS Apc

  • Oral and Maxillofacial Surgery (Dentist)
  • Albany, CA
National Provider Identifier
1992269799
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
A KHALIL DDS APC
Practice address
419 San Pablo Ave
Albany, CA 94706-1124
Phone
(510) 526-8000
Fax
(510) 526-5114
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Dr. Adel S Khalil, M. D. , D. D. S.NPI 1073734612
Title
President
Phone
(510) 548-9114

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

419 San Pablo Ave
Albany, CA 94706-1124

Mailing address

2435 Webster St Ste 200
Berkeley, CA 94705-2050
Phone (510) 548-9114

Other names 1

  • Albany Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

419 San Pablo Ave
Albany, CA 94706
Phone (510) 526-8000

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1992269799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 WEBSTER ST STE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052050",
            "telephone_number": "510-548-9114",
            "fax_number": "510-548-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061124",
            "telephone_number": "510-526-8000",
            "fax_number": "510-526-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A KHALIL DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-548-9114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D. , D. D. S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.