Kidzania Forney PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDZANIA FORNEY PLLC

Practice address

132 Kroger Dr # 300
Forney, TX 75126-2853

Phone

(817) 483-2445

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Hussam Gharraph, DDSNPI 1902965940

Title

Dentist

Phone

(909) 709-8822

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hussam Gharraph, DDS

  • Pediatric Dentistry
  • Arlington, TX
  • NPI 1902965940
  NPD Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1649855792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 SW GREEN OAKS BLVD STE 123",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174130",
            "telephone_number": "817-483-2445",
            "fax_number": "817-483-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 KROGER DR # 300",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751262853",
            "telephone_number": "817-483-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZANIA FORNEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "GHARRAPH",
        "authorized_official_first_name": "HUSSAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-709-8822",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Forney, TX
• Providers in Forney, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.