Sura Al Obaidy
NPI 1124771811 · General Practice Dentistry · San Diego, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sura Al Obaidy is a General Practice Dentistry provider in San Diego, CA (NPI 1124771811).
Provider details
- NPI number
- 1124771811
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DDS107910 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-02-02
- Last updated
- 2023-03-03
- Certified
- 2023-03-03
Frequently asked questions
- What is Sura Al Obaidy's NPI number?
- Sura Al Obaidy's National Provider Identifier (NPI) is 1124771811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sura Al Obaidy's specialty?
- Sura Al Obaidy is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Sura Al Obaidy located?
- Sura Al Obaidy's practice location on file with NPPES is 4142 Adams Ave Ste 104, San Diego, CA 92116-2594.
- What is Sura Al Obaidy's phone number?
- The practice phone number listed in the NPPES registry for Sura Al Obaidy is (619) 483-7977.
- Does Sura Al Obaidy accept Medicare?
- Sura Al Obaidy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sura Al Obaidy's NPI active?
- Yes — Sura Al Obaidy's NPI (1124771811) is active in the NPPES registry as of the last update on 2023-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.