Individual provider Active NPI

Nadijah Tamimi, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1780084525
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33636 Issued in TX
Practice address
14438 Bellaire Blvd
Houston, TX 77083-7520
Phone
(713) 773-0803
NPI assigned
Aug 29, 2014
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2014028197 MO
Dentist 122300000X 33636 TX Primary

Addresses

Primary practice location

14438 Bellaire Blvd
Houston, TX 77083-7520

Mailing address

7001 Corporate Dr Ste 120
Houston, TX 77036-5113
Phone (713) 773-0803

Other practice location 1

3801 Blue Pkwy
Kansas City, MO 64130-2807
Phone (816) 923-5800

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
I20200826002171 TX Practitioner - Dentist 3779800180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Aug 21, 2020 Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Aug 21, 2020 Accepting new patients

Locations

13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 333-7273

14438 Bellaire Blvd
Houston, TX 77083
Phone (281) 568-5184

7001 Corporate Dr
Ste 120
Houston, TX 77036
Phone (713) 333-7273

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1780084525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365113",
            "telephone_number": "713-773-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14438 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837520",
            "telephone_number": "713-773-0803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641302807",
            "country_code": "US",
            "telephone_number": "816-923-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMIMI",
        "first_name": "NADIJAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014028197",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.