Chanel Hiba George, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109857 Issued in CA

Practice address

4022 Sunrise Blvd Ste 160
Rancho Cordova, CA 95742-6908

Phone

(916) 246-1108

NPI assigned

Feb 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mokbil Dental Corporation

  • Dentist
  • Rancho Cordova, CA
  • NPI 1588185516
  NPD (past)

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1992568430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 SUNRISE BLVD STE 160",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426908",
            "telephone_number": "916-246-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 SUNRISE BLVD STE 160",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426908",
            "telephone_number": "916-246-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CHANEL",
        "middle_name": "HIBA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garfield Beach CVS, L.L.C.
• Elizabeth Garnica
• Stephanie L Garo, MA CCC-SLP
• Sean Geary, LMFT
• Sarah Jane Elizabeth Gebhart
• Elizabeth Geraghty
• Teresa M. Gerard, O.D.
• Anjuli Gerlach
• Steven A. Gest, M.D.
• Taranpreet Gidha

• General Practice Dentistry in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.