Individual provider Active NPI

Heidi N Abrahim, DMD

  • Dentist
  • Houston, TX
National Provider Identifier
1780357426
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37508 Issued in TX
Practice address
12880 Beamer Rd Ste C
Houston, TX 77089-5978
Phone
(281) 456-3388
Fax
(281) 456-3366
NPI assigned
Jul 28, 2021
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37508 TX Primary

Addresses

Primary practice location

12880 Beamer Rd Ste C
Houston, TX 77089-5978

Mailing address

12880 Beamer Rd Ste C
Houston, TX 77089-5978
Phone (281) 456-3888

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
I20230419000183 TX Practitioner - Dentist 2769857002 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37508TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Family Dental PLLC CurrentSince Mar 10, 2023 Accepting new patients

Locations

12880 Beamer Rd
Ste C
Houston, TX 77089
Phone (281) 456-3388

Organizations & group practices 1

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1780357426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 BEAMER RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895978",
            "telephone_number": "281-456-3888",
            "fax_number": "281-456-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 BEAMER RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895978",
            "telephone_number": "281-456-3388",
            "fax_number": "281-456-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHIM",
        "first_name": "HEIDI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.