NPI Code Detail JSON Logo

1881290112 NPI number — AHMAD MERSAL DDS

NPI Number: 1881290112
Health Care Provider/Practitioner: AHMAD MERSAL DDS

Information about “1881290112” NPI (AHMAD MERSAL DDS) exists in 1881290112 in HTML format HTML  |  1881290112 in plain Text format TXT  |  1881290112 in PDF (Portable Document Format) PDF  |  1881290112 in an XML format XML  formats.

NPI Number : 1881290112 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881290112",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MERSAL",
    "FirstName": "AHMAD",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MERSAL",
    "OtherFirstName": "AHMED",
    "OtherMiddleName": "FAHMI YOUSSEF ELSAID",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2008 GRAHAM AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REDONDO BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90278-1923",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-658-1636",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "652 E REGENT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INGLEWOOD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90301-1415",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-330-0604",
    "PracticeLocationAddressFaxNumber": "310-330-0590",
    "EnumerationDate": "12/10/2020",
    "LastUpdateDate": "01/04/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "105863",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.