Individual provider Active NPI

Robert Naffah, DDS

  • General Practice Dentistry
  • Sherman, TX
National Provider Identifier
1740285014
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7045 Issued in LA
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

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205000721 NM Order and Referring Only - DentistPractitioner - Dentist 7214363506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3964AZMDGeneral Practice Dentistry
48519CAMDGeneral Practice Dentistry
19200TXMDGeneral 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

Verify at the official NPI Registry.