DR. THAER BASIM ALQADOUMI DDS MS NPI 1487000592

NPI Information

  • NPI: 1487000592
  • Provider Name: DR. THAER BASIM ALQADOUMI, DDS, MS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 81735 US HIGHWAY 111
    SUITE A
    INDIO, CA
    ZIP 92201
  • Phone: (760) 238-4533

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NPI Details

DR. Thaer Basim Alqadoumi, DDS, MS is a periodontics dentist in Indio, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Thaer Basim Alqadoumi, DDS, MS NPI is 1487000592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

81735 US HIGHWAY 111
SUITE A
INDIO, CA
ZIP 92201-713
Phone: (760) 238-4533

The enumeration date for this NPI number is 5/6/2016 and was last updated on 10/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist100200CALIFORNIANo
21223P0300XDentistPeriodontics100200CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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