Individual provider Active NPI

Osama Abd Alkareem Darweesh, D.D.S

  • Dentist
  • Arlington, TX
National Provider Identifier
1235570292
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28768 Issued in TX
Practice address
5100 W Sublett Rd Ste 100
Arlington, TX 76001-4824
Phone
(174) 830-7798
NPI assigned
Jul 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28768 TX
Dentist 122300000X 28768 TX Primary

Addresses

Primary practice location

5100 W Sublett Rd Ste 100
Arlington, TX 76001-4824

Mailing address

5100 W Sublett Rd Ste 100
Arlington, TX 76001-4824
Phone (817) 483-0779

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
28768TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Dental Care PLLC CurrentSince Jan 15, 2023 Accepting new patients
Dental Republic - Oakcliff, PC General Practice Past Accepting new patients

Locations

5100 W Sublett Rd
Ste 100
Arlington, TX 76001
Phone (817) 483-0779

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1235570292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W SUBLETT RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760014824",
            "telephone_number": "817-483-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W SUBLETT RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760014824",
            "telephone_number": "174-830-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARWEESH",
        "first_name": "OSAMA",
        "middle_name": "ABD ALKAREEM",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-07",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28768",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.