Individual provider Active NPI

Afra Saleh, D.D.S.,

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bedford, TX
National Provider Identifier
1770032930
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
32412 Issued in TX
Practice address
1717 Airport Fwy
Bedford, TX 76021-5731
Phone
(817) 540-2223
NPI assigned
Sep 29, 2016
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32412 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 32412 TX Primary

Addresses

Primary practice location

1717 Airport Fwy
Bedford, TX 76021-5731

Mailing address

2470 Electra Dr
Allen, TX 75013-5556
Phone (310) 218-7154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190211002698 NY Order and Referring Only - DentistPractitioner - Dentist 0042558496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32412TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1770032930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ELECTRA DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135556",
            "telephone_number": "310-218-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 AIRPORT FWY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215731",
            "telephone_number": "817-540-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH",
        "first_name": "AFRA",
        "credential": "D.D.S.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32412",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "32412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.