Active NPI
Hania Alkudmani, BDS, MS
- Periodontics
- San Antonio, TX
National Provider Identifier
1902337165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 33155
- Practice address
- 24051 W Interstate 10
San Antonio, TX 78257 - Phone
- (210) 681-5555
- NPI assigned
- Mar 21, 2017
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 33155 | TX | Primary |
Addresses
Primary practice location
24051 W Interstate 10
San Antonio, TX 78257
Mailing address
3436 Twisted Oaks Dr
San Antonio, TX 78217-3431
Phone (716) 533-3874
Other practice location 1
3435 Main Street, 250 Squire Hall
Department of Periodontics, Suny at Buffalo
Buffalo, NY 14213
Phone (716) 829-2442
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33155 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1902337165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3436 TWISTED OAKS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782173431",
"telephone_number": "716-533-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24051 W INTERSTATE 10",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78257",
"telephone_number": "210-681-5555"
}
],
"practiceLocations": [
{
"address_1": "3435 MAIN STREET, 250 SQUIRE HALL",
"address_2": "DEPARTMENT OF PERIODONTICS, SUNY AT BUFFALO",
"address_purpose": "LOCATION",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14213",
"country_code": "US",
"telephone_number": "716-829-2442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALKUDMANI",
"first_name": "HANIA",
"name_prefix": "Dr.",
"credential": "BDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "33155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.