Raed Alsaadi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20645 Issued in TX

Practice address

10009 N Macarthur Blvd
105
Irving, TX 75063-5082

Phone

(972) 869-3100

NPI assigned

Dec 8, 2006

Last updated

Aug 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1033278593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 N MACARTHUR BLVD",
            "address_2": "105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635082",
            "telephone_number": "972-869-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 N MACARTHUR BLVD",
            "address_2": "105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635082",
            "telephone_number": "972-869-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAADI",
        "first_name": "RAED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Life PLLC
• Alpha Pharmacy
• Alpha Touch Hospice LLC (Alpha Touch Hospice)
• Alpine Family Dental PLLC
• Als Anesthesia, PLLC
• Hana Alsoudi, OD
• Enaam H Alsoufi, MD
• Roaa Alsulaiman, MS
• Mehak Altaf
• Altamash I Qureshi MD PA

• General Practice Dentistry in Irving, TX
• Providers in Irving, 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 Aug 18, 2014; 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.

Verify at the official NPI Registry.