Ibrush Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IBRUSH FAMILY DENTISTRY, PLLC

Practice address

3513 McCart Ave Ste B
Fort Worth, TX 76110-4600

Phone

(817) 921-4646

Fax

(817) 921-4546

NPI assigned

Feb 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sania Khatib, DDSNPI 1497845291

Title

Owner/ Dentist

Phone

(682) 800-3513

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sania F Khatib, DDS

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1497845291
  NPD Authorized official
• Jamal F Khatib, D.D.S.

  • Dentist
  • Fort Worth, TX
  • NPI 1457525032
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612656000000",
    "number": "1023600418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 MCCART AVE STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761104600",
            "telephone_number": "817-921-4646",
            "fax_number": "817-921-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 MCCART AVE STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761104600",
            "telephone_number": "817-921-4646",
            "fax_number": "817-921-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRUSH FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "SANIA",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "682-800-3513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Ibitoye, LPCA
• Marian Ibrahim
• Mohammad Taha Ibrahim, D.O.
• Youanna Ibrahim
• Ibrite Dental PLLC
• Icare Community Service LLC
• Icats Medical Consultants LLC
• Edward Earl Icaza, MD
• Patricia Lee Ice
• Victoria Icho, M.S., LMFT ASSOCIATE

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.