Active NPI
Zeenat Abdulali Kheraluwala, D.D.S.
- General Practice Dentistry
- Weatherford, TX
National Provider Identifier
1689194847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32933
- Practice address
- 325 Adams Dr Ste 335
Weatherford, TX 76086-6742 - Phone
- (682) 803-2003
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32933 | TX | Primary |
Addresses
Primary practice location
325 Adams Dr Ste 335
Weatherford, TX 76086-6742
Mailing address
6010 Bushnell Dr Apt 733
Fort Worth, TX 76116-5830
Phone (469) 230-4839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32933 | Other | TX | STATE BOARD OF DENTAL EXAMINERS |
Other names 1
- Zeenat Mustafa Abdulali
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32933 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1689194847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 BUSHNELL DR APT 733",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165830",
"telephone_number": "469-230-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ADAMS DR STE 335",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760866742",
"telephone_number": "682-803-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHERALUWALA",
"first_name": "ZEENAT",
"middle_name": "ABDULALI",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF DENTAL EXAMINERS",
"identifier": "32933",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ZEENAT",
"last_name": "ABDULALI",
"middle_name": "MUSTAFA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.