DR. JACKLYN IBRAHIM
NPI 1699277293
Dentist in Los Angeles, CA
NPI Status: Active since February 28, 2018
Contact Information
8405 BEVERLY BLVD
LOS ANGELES, CA
ZIP 90048
Phone: (323) 653-1990
- Individual
- Female
- Dentist
- Opted-Out Medicare
About JACKLYN IBRAHIM
This page provides the complete NPI Profile along with additional information for Jacklyn Ibrahim, a provider established in Los Angeles, California with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1699277293 assigned on February 2018. The practitioner's primary taxonomy code is 122300000X with license number 104338 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1699277293
- Provider Name
- DR. JACKLYN IBRAHIM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8405 BEVERLY BLVD LOS ANGELES, CA 90048
- Location Phone
- (323) 653-1990
- Mailing Address
- 11350 CULVER BLVD LOS ANGELES, CA 90066
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-28-2018
- Last Update Date
- 08-29-2019
- Code Navigator
A dentist like Jacklyn Ibrahim is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jacklyn Ibrahim opted out of Medicare effective on 06-14-2022 until 06-14-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 55 E Julian St
San Jose, CA 95112
(408) 280-0672
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 104338
- License State
- CA
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-14-2022
Opt-Out End Date: 06-14-2026
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1699277293, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 77 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699277293, enumerated as an "individual" on February 28, 2018.
The provider is located at 8405 BEVERLY BLVD LOS ANGELES, CA 90048 and the phone number is (323) 653-1990.
Dentist with taxonomy code 122300000X.
