Active NPI
Haifa Jamaleddine, DENTIST DDS
- Dentist
- Dallas, TX
National Provider Identifier
1396992293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23923
- Practice address
- 9301 N Central Expressway #585
Dallas, TX 75231 - Phone
- (214) 823-1183
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 23923 | TX | Primary |
| Public Health Dentistry | 1223D0001X | 23923 | TX |
Addresses
Primary practice location
9301 N Central Expressway #585
Dallas, TX 75231
Mailing address
9301 N Central Expressway #585
Dallas, TX 75231
Phone (214) 521-3148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272816638 | Other | TX | DENTAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | DALLAS | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 23923 | TX | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Place Dental P.C. | Dentist | 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.
-
- Dentist
- Dallas, TX
- NPI 1194904052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1396992293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 N CENTRAL EXPRESSWAY #585",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-521-3148",
"fax_number": "214-521-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 N CENTRAL EXPRESSWAY #585",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-823-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMALEDDINE",
"first_name": "HAIFA",
"name_prefix": "Dr.",
"credential": "DENTIST DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "23923",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "TX",
"license": "23923",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL",
"identifier": "272816638",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "DALLAS",
"affiliation": "N",
"endpointDescription": "other",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "9301 NORTH CENTRAL EXPRESSWAY",
"address_2": "SUIE 585",
"city": "DALLAS",
"state": "TX",
"country_code": "US",
"postal_code": "75231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.