SHERIF SAMEH BANOUB DDS
NPI 1699558817
Dentist in Corcoran, CA

Q: What is Sherif Banoub's NPI number?

The NPI number for Sherif Banoub is 1699558817. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Q: What is Sherif Banoub's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sherif Banoub was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 14, 2023PECOS Enrolled

1000 CHITTENDEN AVE, CORCORAN, CA 93212(800) 492-4227 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2025, Oct 7, 2024, Aug 14, 2023 (3 updates tracked since 2023).

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About Sherif Sameh Banoub Dds NPPES

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

SHERIF SAMEH BANOUB DDS (NPI 1699558817) is an individual dentist in Corcoran, California, licensed in California (110035) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699558817

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSHERIF SAMEH BANOUBCredential: DDS

Location Address1000 CHITTENDEN AVECorcoran, CA 93212-2407

Mailing Address3875 W Beechwood AveFresno, CA 93711-0795 · (800) 492-4227

Phone(800) 492-4227

Sole ProprietorNo

Enumeration DateAugust 14, 2023

Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1699558817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 110035

Definition

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.

1000 CHITTENDEN AVE, Corcoran, CA 93212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sherif Sameh Banoub Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAJIRA NAZ DDS

Dentist