Individual provider Active NPI

Tarek Ayas, D.D.S., P.C.

  • Dentist
  • Arlington, TX
National Provider Identifier
1720118318
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17528 Issued in TX
Practice address
3620 S Cooper St Ste 140
Arlington, TX 76015-3477
Phone
(817) 468-8839
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17528 TX Primary

Addresses

Primary practice location

3620 S Cooper St Ste 140
Arlington, TX 76015-3477

Mailing address

3620 S Cooper St Ste 140
Arlington, TX 76015-3477
Phone (817) 468-8839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217001357 TX Order and Referring Only - DentistPractitioner - Dentist 7911202601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17528TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ayas Family Dentistry, P.C. Past Accepting new patients

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1720118318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S COOPER ST STE 140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153477",
            "telephone_number": "817-468-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S COOPER ST STE 140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153477",
            "telephone_number": "817-468-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYAS",
        "first_name": "TAREK",
        "name_prefix": "Mr.",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.