Active NPI
Nabeel Arif Kheiri, DDS
- General Practice Dentistry
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34604
- Practice address
- 5330 E Mockingbird LN Ste 120
Dallas, TX 75206-0941 - Phone
- (214) 821-5011
- NPI assigned
- May 16, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029892 | IL | |
| General Practice Dentistry | 1223G0001X | 34604 | TX | Primary |
Addresses
Primary practice location
5330 E Mockingbird LN Ste 120
Dallas, TX 75206-0941
Mailing address
5330 E Mockingbird LN Ste 120
Dallas, TX 75206-0941
Phone (214) 821-5011
Other practice location 1
350 N Clark St
Suite 600
Chicago, IL 60654-4712
Phone (312) 274-4524
Other practice location 2
4251 E Renner Rd Ste 126
Richardson, TX 75082-2753
Phone (214) 821-6468
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019029892 | IL | MD | Dentist |
| 34604 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mint Dentistry | Dentist | Past | Accepting new patients |
| Mint Surgery Center PLLC | Dentist | Past | Accepting new patients |
| Mint Dentistry, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Dallas, TX
- NPI 1356570139
-
dba Breckenridge Richardson MINT Dentistry
- General Practice Dentistry
- Richardson, TX
- NPI 1255891669
-
- Dentist
- Dallas, TX
- NPI 1073861183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1740691393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5330 E MOCKINGBIRD LN STE 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752060941",
"telephone_number": "214-821-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 E MOCKINGBIRD LN STE 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752060941",
"telephone_number": "214-821-5011"
}
],
"practiceLocations": [
{
"address_1": "350 N Clark St",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606544712",
"country_code": "US",
"telephone_number": "312-274-4524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4251 E Renner Rd Ste 126",
"address_purpose": "LOCATION",
"city": "Richardson",
"state": "TX",
"postal_code": "750822753",
"country_code": "US",
"telephone_number": "214-821-6468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHEIRI",
"first_name": "NABEEL",
"middle_name": "ARIF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-16",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029892",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.