Individual provider Active NPI

Chad Hasan Abed, DDS

  • Dentist
  • Palo Alto, CA
National Provider Identifier
1992812101
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CA63218 Issued in CA
Practice address
824 Bryant St
Palo Alto, CA 94301-2707
Phone
(650) 327-1787
Fax
(650) 327-7971
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X CA63218 CA Primary

Addresses

Primary practice location

824 Bryant St
Palo Alto, CA 94301-2707

Mailing address

824 Bryant St
Palo Alto, CA 94301-2707
Phone (917) 209-1950

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150724011084 CA Order and Referring Only - DentistPractitioner - Dentist 1254644875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA63218CAMDDentist
63218CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Abed DDS Inc CurrentSince Sep 5, 2021 Accepting new patients

Locations

824 Bryant St
Palo Alto, CA 94301
Phone (650) 327-1787

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1992812101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 BRYANT ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012707",
            "telephone_number": "917-209-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BRYANT ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012707",
            "telephone_number": "650-327-1787",
            "fax_number": "650-327-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABED",
        "first_name": "CHAD",
        "middle_name": "HASAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA63218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.