Omar Fetouh, D.D.S., M.S., P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24313 Issued in TX

Legal business name

OMAR FETOUH, D.D.S., M.S., P.C.

Practice address

900 N Blue Mound Rd
Suite 125
Saginaw, TX 76131-4810

Phone

(716) 348-9855

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Omar Fetouh, D.D.S.NPI 1992950042

Title

Orthodontist

Phone

(716) 348-9855

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Omar Fetouh, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saginaw, TX
  • NPI 1992950042
  NPD Authorized official

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1093028169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N BLUE MOUND RD",
            "address_2": "SUITE 125",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314810",
            "telephone_number": "716-348-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N BLUE MOUND RD",
            "address_2": "SUITE 125",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314810",
            "telephone_number": "716-348-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR FETOUH, D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "FETOUH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "716-348-9855",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Texas - Mca LLC (Medical City ER- Saginaw, a department of Medical City Arlington)
• Kimberly Grace Novak, OTR
• Monique Nyingeli
• Dominique Oliver, DDS
• Jennette Rush Olson, D.D.S.
• Beverlyn C Omejia
• Open Arms Healthcare of Texas Inc. (Medico MD)
• Gail Hannah Ortiz
• Over the Horizon Counseling and Consulting PLLC
• Shiva R Peddireddy, PHARM. D

• Orthodontics and Dentofacial Orthopedics Dentistry in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.