Individual provider Active NPI

Bassam Abdulnaim Abazid, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1639339724
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26095 Issued in TX
Practice address
5910 Babcock Rd Ste 205
San Antonio, TX 78240-2482
Phone
(210) 561-9999
Fax
(210) 561-9998
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 26095 TX
Dentist 122300000X 26095 TX Primary

Addresses

Primary practice location

5910 Babcock Rd Ste 205
San Antonio, TX 78240-2482

Mailing address

5910 Babcock Rd Ste 205
San Antonio, TX 78240-2482
Phone (210) 561-9999

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.smilelandfamilydental.com

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
26095TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Habibi Smiles PLLC General Practice Current Accepting new patients
Ashraf a Husein General Practice Past Accepting new patients

Locations

5910 Babcock Rd
Ste 205
San Antonio, TX 78240
Phone (210) 561-9999

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1639339724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 BABCOCK RD STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402482",
            "telephone_number": "210-561-9999",
            "fax_number": "210-561-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 BABCOCK RD STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402482",
            "telephone_number": "210-561-9999",
            "fax_number": "210-561-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAZID",
        "first_name": "BASSAM",
        "middle_name": "ABDULNAIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26095",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.smilelandfamilydental.com",
            "affiliation": "N",
            "address_1": "5910 Babcock Rd Ste 205",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782402482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.