Individual provider Active NPI

Hani Alsibai, BDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bastrop, TX
National Provider Identifier
1467936377
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
34718 Issued in TX
Practice address
715 Old Austin Hwy Ste 400
Bastrop, TX 78602-5165
Phone
(512) 212-9803
NPI assigned
Sep 18, 2018
Last updated
Apr 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 34718 TX Primary

Addresses

Primary practice location

715 Old Austin Hwy Ste 400
Bastrop, TX 78602-5165

Mailing address

10020 Bennett PL
Eden Prairie, MN 55347-4406
Phone (952) 334-1975

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

LicenseStateTypeSpecialty
34718TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1467936377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 BENNETT PL",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553474406",
            "telephone_number": "952-334-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 OLD AUSTIN HWY STE 400",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025165",
            "telephone_number": "512-212-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSIBAI",
        "first_name": "HANI",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "34718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.