Sarah Fathi Elrabaa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31147 Issued in TX

Practice address

2041 N State Hwy 78
Ste 105
Wylie, TX 75098

Phone

(541) 378-3210

NPI assigned

May 30, 2012

Last updated

Feb 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1457612103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 NE GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-378-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 N STATE HWY 78",
            "address_2": "STE 105",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "541-378-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELRABAA",
        "first_name": "SARAH",
        "middle_name": "FATHI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ubong Edohoukwa, PT, DPT
• Emily Eggart, DDS
• Charles Offiong Ekpe
• Helen Akpan Ekpo, NURSE
• Elevate Healthcare - Wylie LLC
• Embrace Dentistry PC
• Emergent Homehealth Services Inc
• Emmajo Home Health Inc
• Dawna Emmanuel, PHARMD
• Equest (Equest Therapy Services)

• General Practice Dentistry in Wylie, TX
• Providers in Wylie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.