Active NPI
Yasser Khabbaz, D.M.D,M.S
- Periodontics
- Houston, TX
National Provider Identifier
1679729941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 24095
- Practice address
- 3222 Hillcroft St
Houston, TX 77057-5806 - Phone
- (713) 263-8900
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 24095 | TX | Primary |
Addresses
Primary practice location
3222 Hillcroft St
Houston, TX 77057-5806
Mailing address
10000 Broadway St Apt 382
Pearland, TX 77584-7815
Phone (937) 554-6765
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24095 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1679729941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 BROADWAY ST APT 382",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847815",
"telephone_number": "937-554-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3222 HILLCROFT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575806",
"telephone_number": "713-263-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHABBAZ",
"first_name": "YASSER",
"name_prefix": "Dr.",
"credential": "D.M.D,M.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "24095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.