NOURA FADEL DDS INC
NPI 1679216253
Advanced Practice Dental Therapist in Redlands, CA

Q: What is Noura Fadel Dds Inc's NPI number?

The NPI number for Noura Fadel Dds Inc is 1679216253. It was assigned to this organization in the NPPES registry on April 20, 2022.

Q: What is Noura Fadel Dds Inc's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

Active since April 20, 2022

720 BROOKSIDE AVE STE 100, REDLANDS, CA 92373(909) 488-0222(909) 300-0550 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Aug 12, 2026, Apr 20, 2022 (3 updates tracked since 2022).

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About Noura Fadel Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOURA FADEL DDS INC (NPI 1679216253) is a healthcare organization registered as an advanced practice dental therapist in Redlands, California and active in the NPI registry since April 2022. The organization lists Noura Fadel, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1679216253

Entity TypeOrganization

Primary Taxonomy125K00000X

Legal Business NameNOURA FADEL DDS INC

Location Address720 BROOKSIDE AVE STE 100Redlands, CA 92373-5189

Mailing Address720 Brookside Ave Ste 100Redlands, CA 92373-5189 · (909) 488-0222 · Fax (909) 300-0550

Phone(909) 488-0222

Fax(909) 300-0550

Organization SubpartNo

Authorized OfficialNoura FadelOwner Dentist · (909) 488-0222

Enumeration DateApril 20, 2022

Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1679216253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyAdvanced Practice Dental TherapistDental Providers

Taxonomy Code125K00000X

Definition

An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

Also ListedDentist · Orofacial PainTaxonomy 1223X2210X

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

720 BROOKSIDE AVE STE 100, Redlands, CA 92373

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noura Fadel Dds Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Noura Fadel DDS Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Noura Fadel, D.D.S. FAGD

Oral Surgery

NPI 1881826931

720 BROOKSIDE AVE STE 100
Redlands, CA 92373

(585) 770-0592

Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noura Fadel Dds Inc's NPI number?

The NPI number for Noura Fadel Dds Inc is 1679216253. It was assigned to this organization in the NPPES registry on April 20, 2022.

Where is Noura Fadel Dds Inc located?

Noura Fadel Dds Inc is located at 720 Brookside Ave Ste 100, Redlands, CA 92373. The listed phone number is (909) 488-0222.

What is Noura Fadel Dds Inc's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

Is Noura Fadel Dds Inc enrolled in Medicare?

Yes. Noura Fadel Dds Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Noura Fadel Dds Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Noura Fadel Dds Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Noura Fadel Dds Inc was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.