Active NPI
Hani Alsibai, BDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bastrop, TX
National Provider Identifier
1467936377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 34718
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34718 | TX | MD | Orthodontics 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.