Active NPI
Salma Haneef, DDS
- General Practice Dentistry
- Lantana, TX
National Provider Identifier
1790398345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36628
- Practice address
- 3501 FM 407 E Ste 200
Lantana, TX 76226-9769 - Phone
- (940) 489-1660
- NPI assigned
- Aug 24, 2020
- Last updated
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36628 | TX | Primary |
Addresses
Primary practice location
3501 FM 407 E Ste 200
Lantana, TX 76226-9769
Mailing address
2020 Hemison LN
Lewisville, TX 75056-3898
Phone (972) 900-2074
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 |
|---|---|---|---|
| 36628 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mangoleaf Dental PLLC | General Practice | Current | Accepting new patients |
Locations
3501 FM 407 E
Ste 200
Lantana, TX 76226
Phone (940) 489-1660
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": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1790398345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 HEMISON LN",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750563898",
"telephone_number": "972-900-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 FM 407 E STE 200",
"city": "LANTANA",
"state": "TX",
"postal_code": "762269769",
"telephone_number": "940-489-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEEF",
"first_name": "SALMA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "36628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lantana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.