Active NPI
Osama Abdullah, DMD
- Dentist
- College Station, TX
National Provider Identifier
1881372985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39698
- Practice address
- 2305 Longmire Dr Ste 700
College Station, TX 77845-7035 - Phone
- (918) 801-8124
- NPI assigned
- Jul 10, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 39698 | TX | Primary |
Addresses
Primary practice location
2305 Longmire Dr Ste 700
College Station, TX 77845-7035
Mailing address
2104 Loch Haven Dr
Plano, TX 75023-5231
Phone (502) 975-4911
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1881372985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 LOCH HAVEN DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750235231",
"telephone_number": "502-975-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 LONGMIRE DR STE 700",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778457035",
"telephone_number": "918-801-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLAH",
"first_name": "OSAMA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.