Individual provider Active NPI

Numair Kazmi, D.D.S.

  • Dentist
  • Mansfield, TX
National Provider Identifier
1417350117
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30136 Issued in TX
Practice address
3300 E Broad St
Suite 120
Mansfield, TX 76063-5629
Phone
(682) 518-5856
Fax
(682) 518-1532
NPI assigned
Oct 8, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30136 TX Primary

Addresses

Primary practice location

3300 E Broad St
Suite 120
Mansfield, TX 76063-5629

Mailing address

3300 E Broad St
Suite 120
Mansfield, TX 76063-5629
Phone (682) 518-5856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150805006942 TX Order and Referring Only - DentistPractitioner - Dentist 0446564462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30136TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mansfield Smiles and Orthodontics, PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1417350117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E BROAD ST",
            "address_2": "SUITE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635629",
            "telephone_number": "682-518-5856",
            "fax_number": "682-518-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E BROAD ST",
            "address_2": "SUITE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635629",
            "telephone_number": "682-518-5856",
            "fax_number": "682-518-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMI",
        "first_name": "NUMAIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.