Active NPI
Omar Harmouche, DMD, MPH
- Dentist
- Tulia, TX
National Provider Identifier
1336715861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39163
- Practice address
- 229 N Maxwell Ave
Tulia, TX 79088-2250 - Phone
- (806) 995-4191
- NPI assigned
- Jun 3, 2021
- Last updated
- Jan 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39163 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 10629 | KY |
Addresses
Primary practice location
229 N Maxwell Ave
Tulia, TX 79088-2250
Mailing address
5183 Hinkleville Rd
Paducah, KY 42001-9667
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39163 | TX | MD | Dentist |
| 10629 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Omar Harmouche PLLC | Current | Accepting new patients | |
| David J, Elrod, DMD. a Professional Service Corporation | General Practice | Past | Accepting new patients |
Locations
229 N Maxwell Ave
Tulia, TX 79088
Phone (806) 995-4191
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Paducah, KY
- NPI 1285998815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1336715861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5183 HINKLEVILLE RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 N MAXWELL AVE",
"city": "TULIA",
"state": "TX",
"postal_code": "790882250",
"telephone_number": "806-995-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMOUCHE",
"first_name": "OMAR",
"name_prefix": "Dr.",
"credential": "DMD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39163",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "10629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.