Individual provider Active NPI

Ahmad Mustafa Rabi, D.D.S.

  • Dentist
  • Smyrna, TN
National Provider Identifier
1376662783
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8263 Issued in TN
Practice address
13181 Old Nashville Hwy
Suite 110
Smyrna, TN 37167-4032
Phone
(615) 459-9296
Fax
(615) 459-9286
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8263 TN Primary

Addresses

Primary practice location

13181 Old Nashville Hwy
Suite 110
Smyrna, TN 37167-4032

Mailing address

912 Bresslyn Rd
Nashville, TN 37205-1243
Phone (615) 972-8725

Other identifiers 1

IdentifierTypeStateIssuer
Q001578MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150728005749 CA Order and Referring Only - DentistPractitioner - Dentist 8628382140
I20160311001011 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628382140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8263TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1376662783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 BRESSLYN RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051243",
            "telephone_number": "615-972-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13181 OLD NASHVILLE HWY",
            "address_2": "SUITE 110",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674032",
            "telephone_number": "615-459-9296",
            "fax_number": "615-459-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABI",
        "first_name": "AHMAD",
        "middle_name": "MUSTAFA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001578",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.