Organization Active NPI

Jason S. Daaboul DDS PA

  • Dental Clinic/Center
  • Grapevine, TX
National Provider Identifier
1407555121
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JASON S. DAABOUL DDS PA
Practice address
2800 William D. Tate Avenue
Suite 200
Grapevine, TX 76051
Phone
(817) 488-7885
Fax
(817) 421-6176
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Dr. Jason Saad-Eddine Daaboul, DDSNPI 1629128715
Title
President
Phone
(817) 690-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2800 William D. Tate Avenue
Suite 200
Grapevine, TX 76051

Mailing address

2800 William D. Tate Avenue
Suite 200
Grapevine, TX 76051
Phone (817) 488-7885

National Provider Directory

National Provider Directory

Locations

2800 William D Tate Ave
Ste 200
Grapevine, TX 76051
Phone (817) 424-3214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1407555121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WILLIAM D. TATE AVENUE",
            "address_2": "SUITE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-488-7885",
            "fax_number": "817-421-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WILLIAM D. TATE AVENUE",
            "address_2": "SUITE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-488-7885",
            "fax_number": "817-421-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON S. DAABOUL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "DAABOUL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SAAD-EDDINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-690-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

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

Verify at the official NPI Registry.