Mendili Dental Services, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29939 Issued in TX

Legal business name

MENDILI DENTAL SERVICES, PLLC

Practice address

9160 North Tarrant Pkwy
Ste 130
North Richland Hills, TX 76182

Phone

(817) 864-1164

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Aws Al-Darkazali, DMDNPI 1093054991

Title

Owner

Phone

(817) 864-1164

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.

• Aws Al-Darkazali, DMD

  • Dentist
  • North Richland Hills, TX
  • NPI 1093054991
  NPD (past) Authorized official

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1699150730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 N TARRANT PKWAY",
            "address_2": "SUITE 130",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76182",
            "telephone_number": "817-864-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 NORTH TARRANT PKWY",
            "address_2": "STE 130",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76182",
            "telephone_number": "817-864-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDILI DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "AL-DARKAZALI",
        "authorized_official_first_name": "AWS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-864-1164",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.