Organization Active NPI

Numair Kazmi D.D.S.

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1114445921
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30136 Issued in TX
Legal business name
NUMAIR KAZMI D.D.S.
Practice address
4612 Granbury Rd
Fort Worth, TX 76133-1212
Phone
(682) 708-3095
Fax
(682) 708-3096
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Numair Kazmi, DDS
Title
Owner
Phone
(682) 708-3095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30136 TX Primary

Addresses

Primary practice location

4612 Granbury Rd
Fort Worth, TX 76133-1212

Mailing address

4612 Granbury Rd
Fort Worth, TX 76133-1212
Phone (682) 708-3095

Other identifiers 1

IdentifierTypeStateIssuer
1417350117OtherTXNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

4612 Granbury Rd
Fort Worth, TX 76133
Phone (682) 708-3095

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114445921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 GRANBURY RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761331212",
            "telephone_number": "682-708-3095",
            "fax_number": "682-708-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 GRANBURY RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761331212",
            "telephone_number": "682-708-3095",
            "fax_number": "682-708-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUMAIR KAZMI D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KAZMI",
        "authorized_official_first_name": "NUMAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-708-3095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1417350117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.