Active NPI
Manar Al-Dean Kabbani, DDS
- General Practice Dentistry
- Arlington, TX
National Provider Identifier
1104499698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37543
- Practice address
- 2411 Westwood Dr
Arlington, TX 76012-2906 - Phone
- (817) 261-3392
- NPI assigned
- Jul 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 7436 | OK | |
| General Practice Dentistry | 1223G0001X | 37543 | TX | Primary |
Addresses
Primary practice location
2411 Westwood Dr
Arlington, TX 76012-2906
Mailing address
13290 Noel Rd Apt 522
Dallas, TX 75240-5673
Phone (918) 361-1108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37543 | TX | MD | Counseling Psychologist |
| 7436 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Dental Spa PLLC | Current | Accepting new patients | |
| Smile Society - Harwood PLLC | General Practice | Current | Accepting new patients |
| Smile Society - Rockwall PLLC | General Practice | Current | Accepting new patients |
| Susan Hollar DDS | General Practice | Past | Accepting new patients |
Locations
2411 Westwood Dr
Arlington, TX 76012
Phone (817) 261-3392
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Arlington, TX
- NPI 1972202786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1104499698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13290 NOEL RD APT 522",
"city": "DALLAS",
"state": "TX",
"postal_code": "752405673",
"telephone_number": "918-361-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 WESTWOOD DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122906",
"telephone_number": "817-261-3392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABBANI",
"first_name": "MANAR",
"middle_name": "AL-DEAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-21",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7436",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.