Individual provider Active NPI

Saba Jamali, DDS

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1265844575
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24746 Issued in TX
Practice address
6501 S Fry Rd
Ste 800
Katy, TX 77494-3376
Phone
(281) 574-5005
NPI assigned
May 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6499 NV
General Practice Dentistry 1223G0001X 24746 TX Primary

Addresses

Primary practice location

6501 S Fry Rd
Ste 800
Katy, TX 77494-3376

Mailing address

23502 Bainford CT
Katy, TX 77494-2412
Phone (702) 579-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170403002103 TX Order and Referring Only - DentistPractitioner - Dentist 0941507743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24746TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lakes Dental Group and Orthodontics, PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1265844575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23502 BAINFORD CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942412",
            "telephone_number": "702-579-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 S FRY RD",
            "address_2": "STE 800",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943376",
            "telephone_number": "281-574-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMALI",
        "first_name": "SABA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6499",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.