Active NPI
Ibtisam Al-Hashimi, BDS, MS, PHD
- Dentist
- Dallas, TX
National Provider Identifier
1174734693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- F-21792
- Practice address
- 6333 Forest Park
Suite 130
Dallas, TX 75390-9109 - Phone
- (214) 645-3999
- Fax
- (214) 645-3989
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | F-21792 | TX | Primary |
Addresses
Primary practice location
6333 Forest Park
Suite 130
Dallas, TX 75390-9109
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (469) 291-2000
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)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-21792 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1174734693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347",
"telephone_number": "469-291-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 FOREST PARK",
"address_2": "SUITE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "753909109",
"telephone_number": "214-645-3999",
"fax_number": "214-645-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-HASHIMI",
"first_name": "IBTISAM",
"name_prefix": "Dr.",
"credential": "BDS, MS, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "F-21792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.