Usama Kamal, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4297 Issued in AR

Practice address

7801 Phoenix Ave
Fort Smith, AR 72903-5091

Phone

(479) 452-8650

Fax

(479) 484-0540

NPI assigned

Jul 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1811483779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 PHOENIX AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035091",
            "telephone_number": "479-452-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 PHOENIX AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035091",
            "telephone_number": "479-452-8650",
            "fax_number": "479-484-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "USAMA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Joyner, PHARM.D.
• Jenefer Juarez
• Jennifer Anne Julian, APRN
• Melinda Marie Justice, APRN, PMHNP-BC
• Salahuddin Kaddoura, MD
• Shara Katishia Kang, LMSW
• Veda Kann
• Kristopher Kannett, PHARM.D
• Fareed Kannout, MD
• Ronald L Kantola, DO

• General Practice Dentistry in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.