Active NPI
Chad Hasan Abed, DDS
- Dentist
- Palo Alto, CA
National Provider Identifier
1992812101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- CA63218
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150724011084 | CA | Order and Referring Only - Dentist | 1254644875 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA63218 | CA | MD | Dentist |
| 63218 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abed DDS Inc | Current | 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.
-
- Dental Clinic/Center
- Palo Alto, CA
- NPI 1659049096
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.