NPIMap

Individual provider Active NPI

Haitham S. Al-Salman, DDS

  • General Practice Dentistry
  • Conroe, TX
National Provider Identifier
1669819330
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29019 Issued in TX
Practice address
2960 Interstate 45 N Ste 300
Conroe, TX 77303-7912
Phone
(936) 314-2688
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29019 TX
General Practice Dentistry 1223G0001X 29019 TX Primary

Addresses

Primary practice location

2960 Interstate 45 N Ste 300
Conroe, TX 77303-7912

Mailing address

2960 Interstate 45 N Ste 300
Conroe, TX 77303-7912
Phone (936) 314-2688

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
29019TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentaspa PLLC Dentist CurrentSince Nov 13, 2022 Accepting new patients

Locations

2960 Interstate 45 N
Ste 300
Conroe, TX 77303
Phone (909) 471-3670

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1669819330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 INTERSTATE 45 N STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773037912",
            "telephone_number": "936-314-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 INTERSTATE 45 N STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773037912",
            "telephone_number": "936-314-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SALMAN",
        "first_name": "HAITHAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29019",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.