Haroon Ismaili, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

24439 Issued in TX

Practice address

2304 W Interstate 20
Suite 150
Arlington, TX 76017-1668

Phone

(817) 466-8080

Fax

(817) 466-8082

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 20, 2016 through Jan 20, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Park Forest Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Arlington, TX
  • NPI 1790910776
  NPD (past) Authorized official
• Southern Maryland Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Waldorf, MD
  • NPI 1174559298
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1215919337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 W INTERSTATE 20",
            "address_2": "SUITE 150",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171668",
            "telephone_number": "817-466-8080",
            "fax_number": "817-466-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W INTERSTATE 20",
            "address_2": "SUITE 150",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171668",
            "telephone_number": "817-466-8080",
            "fax_number": "817-466-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAILI",
        "first_name": "HAROON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Iroha, AGNP-C
• Amayah Isaac
• Marta Isaacs
• Isabel Vee Counseling PLLC
• Maria Rosario Charle Mendoza Isidro, PT
• Ismile Dental II, PLLC
• Ashley Ison, PHARM D
• Israel a Hartman M D P a
• Amana Israel, COTA/L
• Patience Itoya

• Oral and Maxillofacial Surgery (Dentist) in Arlington, TX
• Providers in Arlington, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.