Individual provider Active NPI

Ahmad Mosbah Alalwan

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1881124402
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37101 Issued in TX
Practice address
2947 S Buckner Blvd Ste 100
Dallas, TX 75227-6953
Phone
(214) 381-3800
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416704 VA
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 37101 TX Primary

Addresses

Primary practice location

2947 S Buckner Blvd Ste 100
Dallas, TX 75227-6953

Mailing address

2947 S Buckner Blvd Ste 100
Dallas, TX 75227-6953
Phone (603) 265-0781

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

LicenseStateTypeSpecialty
37101TXMDGeneral Practice Dentistry
0401416704VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Network Provider Associates, P.C. General Practice PastSince Mar 1, 2023 Accepting new patients
Tremont Road Dental, PC General Practice PastSince Aug 1, 2019 Accepting new patients
Buckner Market Place Dental, P.a. General Practice PastSince Jul 16, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1881124402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 S BUCKNER BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276953",
            "telephone_number": "603-265-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 S BUCKNER BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276953",
            "telephone_number": "214-381-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALALWAN",
        "first_name": "AHMAD",
        "middle_name": "MOSBAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416704",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.