Active NPI
Farrah Alsoudi, DDS
- General Practice Dentistry
- Allen, TX
National Provider Identifier
1861054231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40854
- Practice address
- 940 W Stacy Rd Ste 100
Allen, TX 75013-5215 - Phone
- (469) 342-6644
- NPI assigned
- Jul 5, 2019
- Last updated
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 40854 | TX | Primary |
Addresses
Primary practice location
940 W Stacy Rd Ste 100
Allen, TX 75013-5215
Mailing address
971 Shaddock Park LN
Allen, TX 75013-5666
Phone (316) 727-4558
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 |
|---|---|---|---|
| 40854 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geraldine Torrens Parker DDS, Ms, PLLC | General Practice | Current | Accepting new patients |
| Dental Care of Alabama LLC | Past | Accepting new patients |
Locations
940 W Stacy Rd
Ste 100
Allen, TX 75013
Phone (469) 342-6644
Organizations & group practices 2
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.
-
dba Aleen Family Dental
- General Practice Dentistry
- Allen, TX
- NPI 1104457902
-
dba Cumberland Dental of Tuscaloosa
- Dental Clinic/Center
- Tuscaloosa, AL
- NPI 1245360593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1861054231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 SHADDOCK PARK LN",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135666",
"telephone_number": "316-727-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 W STACY RD STE 100",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135215",
"telephone_number": "469-342-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSOUDI",
"first_name": "FARRAH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "40854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.