Active NPI
Robert Naffah, DDS
- General Practice Dentistry
- Sherman, TX
National Provider Identifier
1740285014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7045
- Practice address
- 2916 N US Highway 75
900-A
Sherman, TX 75090-2546 - Phone
- (903) 487-0349
- NPI assigned
- Jun 14, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48519 | CA | |
| General Practice Dentistry | 1223G0001X | DD4330 | NM | |
| General Practice Dentistry | 1223G0001X | 7045 | LA | Primary |
| General Practice Dentistry | 1223G0001X | 19200 | TX | |
| General Practice Dentistry | 1223G0001X | 3964 | AZ |
Addresses
Primary practice location
2916 N US Highway 75
900-A
Sherman, TX 75090-2546
Mailing address
1527 W State Highway 114 Ste 500-321
Grapevine, TX 76051-8646
Phone (310) 993-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200205000721 | NM | Order and Referring Only - Dentist | 7214363506 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3964 | AZ | MD | General Practice Dentistry |
| 48519 | CA | MD | General Practice Dentistry |
| 19200 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1740285014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 W STATE HIGHWAY 114 STE 500-321",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518646",
"telephone_number": "310-993-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 N US HIGHWAY 75",
"address_2": "900-A",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750902546",
"telephone_number": "903-487-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAFFAH",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48519",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD4330",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7045",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19200",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "3964",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.