Omar Alswaiti

Primary specialty

DentistTaxonomy code 122300000X

License

39920 Issued in TX

Practice address

1129 Green Oaks Rd
Fort Worth, TX 76116-1501

Phone

(253) 318-4997

NPI assigned

Jun 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Practice roles

Locations

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.

• Denton Family Smiles, Sleep & TMJ

  • Dentist
  • Denton, TX
  • NPI 1710860770
  NPD Authorized official
• Keller Family Dentistry, Sleep & Facial Pain PLLC

  • Dentist
  • Keller, TX
  • NPI 1538046768
  NPD Authorized official

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1124644604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 SAGE HILL LN",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196162",
            "telephone_number": "253-318-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 GREEN OAKS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161501",
            "telephone_number": "253-318-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSWAITI",
        "first_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "12797",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayder Alsadi
• Megan Alschbach, LMSW
• Esraa Alshaibani
• Ashley Alston-Rodger, MD
• Ayman A Alsudani
• Alta Mere Dental PLLC
• Altamesa Dental
• Altamesa Dental Home PLLC
• Tomas Altamirano III, LMSW
• Aaron J Alterman

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.