Alassaf Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ALASSAF DENTAL PLLC

Doing business as

Blue Mound Dental

Practice address

9716 Blue Mound Rd
Fort Worth, TX 76131-3301

Phone

(682) 444-6813

NPI assigned

Jan 23, 2023

Last updated

Aug 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omar Alassaf, DDSNPI 1710470455

Title

President

Phone

(682) 204-0031

Specialties & licenses 1

Addresses

Other names 1

• Blue Mound Dental Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Alassaf

  • Dentist
  • Fort Worth, TX
  • NPI 1710470455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1790490837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 MOUNTAIN STREAM TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445165",
            "telephone_number": "682-444-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9716 BLUE MOUND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313301",
            "telephone_number": "682-444-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASSAF DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "ALASSAF",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-204-0031",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "9716 Blue Mound Rd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761313301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blue Mound Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Mound Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alana Hospice
• Tarek Alanbari
• Nitheesha Alapati, MD
• Elianne Griselle Alarcon, D.D.S
• Marisol Alas, LCSW
• Omar Alassaf
• Alauan LLC (Principle Pain and Health)
• Ali H Alavi, D.O.
• Irene Alba
• Fysal Albaalbaki, MD

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.