Individual provider Active NPI

Gena Nabulsi, DMD

  • Dentist
  • Spring, TX
National Provider Identifier
1639731995
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600460 Issued in MI
Practice address
2150 FM 2920 Rd Ste a
Spring, TX 77388-3681
Phone
(281) 350-1837
NPI assigned
Jul 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35369 TX
Dentist 122300000X 2901600460 MI Primary

Addresses

Primary practice location

2150 FM 2920 Rd Ste a
Spring, TX 77388-3681

Mailing address

2150 FM 2920 Rd Ste a
Spring, TX 77388-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200527000458 MI Order and Referring Only - DentistPractitioner - Dentist 5799106951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901600460MIMDDentist
35369TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover Smiles Dental Group and Orthodontics PC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1639731995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 FM 2920 RD STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 FM 2920 RD STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883681",
            "telephone_number": "281-350-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABULSI",
        "first_name": "GENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35369",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.