Individual provider Active NPI

Hebaalla Abdelkader

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1144907353
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39775 Issued in TX
Practice address
680 W Sam Houston Pkwy S Apt 2516
Houston, TX 77042-1571
Phone
(832) 507-4512
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39775 TX Primary

Addresses

Primary practice location

680 W Sam Houston Pkwy S Apt 2516
Houston, TX 77042-1571

Mailing address

680 W Sam Houston Pkwy S Apt 2516
Houston, TX 77042-1571
Phone (832) 507-4512

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

LicenseStateTypeSpecialty
39775TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1144907353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W SAM HOUSTON PKWY S APT 2516",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421571",
            "telephone_number": "832-507-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W SAM HOUSTON PKWY S APT 2516",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421571",
            "telephone_number": "832-507-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELKADER",
        "first_name": "HEBAALLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.