Active NPI
Omar Mohammed Yousuf, D.D.S.
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1023371945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27898
- Practice address
- 5940 W Parker Rd Ste 103
Plano, TX 75093-6404 - Phone
- (214) 619-6329
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6292 | LA | |
| General Practice Dentistry | 1223G0001X | 27898 | TX | Primary |
Addresses
Primary practice location
5940 W Parker Rd Ste 103
Plano, TX 75093-6404
Mailing address
5940 W Parker Rd Ste 103
Plano, TX 75093-6404
Phone (214) 619-6329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114003993 | TX | Practitioner - Dentist | 0648708933 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6292 | LA | MD | Professional Counselor |
| 27898 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Innovation of Plano | Current | Accepting new patients | |
| Radiant Family Dental PLLC | General Practice | Current | Accepting new patients |
Locations
5940 W Parker Rd
Ste 103
Plano, TX 75093
Phone (214) 619-6329
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Texas Dental Specialists
- Dental Clinic/Center
- Plano, TX
- NPI 1790352920
-
- General Practice Dentistry
- Southlake, TX
- NPI 1740779594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1023371945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 W PARKER RD STE 103",
"city": "PLANO",
"state": "TX",
"postal_code": "750936404",
"telephone_number": "214-619-6329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 W PARKER RD STE 103",
"city": "PLANO",
"state": "TX",
"postal_code": "750936404",
"telephone_number": "214-619-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSUF",
"first_name": "OMAR",
"middle_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6292",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.