Active NPI
Haneen Kharoub, DMD
- Dentist
- Lancaster, TX
National Provider Identifier
1891470340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39694
- Practice address
- 404 N Interstate 35 E Ste 118
Lancaster, TX 75146-1866 - Phone
- (972) 223-3500
- NPI assigned
- Jun 21, 2023
- Last updated
- Jun 21, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 39694 | TX | Primary |
Addresses
Primary practice location
404 N Interstate 35 E Ste 118
Lancaster, TX 75146-1866
Mailing address
5219 Maple Ave Apt 3102
Dallas, TX 75235-7468
Phone (516) 262-8352
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 |
|---|---|---|---|
| 39694 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1891470340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 MAPLE AVE APT 3102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357468",
"telephone_number": "516-262-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N INTERSTATE 35 E STE 118",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461866",
"telephone_number": "972-223-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAROUB",
"first_name": "HANEEN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.