Individual provider Active NPI

Addam Debebe, DMD

  • General Practice Dentistry
  • Little Elm, TX
National Provider Identifier
1346867678
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36246 Issued in TX
Practice address
2180 FM 423 Ste 200
Little Elm, TX 75068-6695
Phone
(972) 332-4127
NPI assigned
Jul 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36246 TX Primary

Addresses

Primary practice location

2180 FM 423 Ste 200
Little Elm, TX 75068-6695

Mailing address

5151 Bent Tree Forest Dr Apt 207
Dallas, TX 75248-3664
Phone (818) 231-5195

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
36246TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little Elm Dentistry and Orthodontics PC PastSince Jul 5, 2020 Accepting new patients
H L Sugg DDS PA General Practice Past Accepting new patients

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1346867678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 BENT TREE FOREST DR APT 207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483664",
            "telephone_number": "818-231-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 FM 423 STE 200",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686695",
            "telephone_number": "972-332-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBEBE",
        "first_name": "ADDAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.