Individual provider Active NPI

Nina Hatami, DDS

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1710676234
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40363 Issued in TX
Practice address
220 E Seminary Dr Ste 100
Fort Worth, TX 76115-2653
Phone
(817) 916-4431
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40363 TX Primary

Addresses

Primary practice location

220 E Seminary Dr Ste 100
Fort Worth, TX 76115-2653

Mailing address

220 E Seminary Dr Ste 100
Fort Worth, TX 76115-2653
Phone (817) 916-4431

Other practice location 1

550 Alta Mere Dr
Fort Worth, TX 76114-4053
Phone (817) 286-0044

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
40363TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1710676234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E SEMINARY DR STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761152653",
            "telephone_number": "817-916-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E SEMINARY DR STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761152653",
            "telephone_number": "817-916-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Alta Mere Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761144053",
            "country_code": "US",
            "telephone_number": "817-286-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATAMI",
        "first_name": "NINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.