Active NPI
Hussam Gharraph, DDS
- Pediatric Dentistry
- Arlington, TX
National Provider Identifier
1902965940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 29173
- Practice address
- 3851 SW Green Oaks Blvd Ste 123
Arlington, TX 76017-4130 - Phone
- (909) 709-8822
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 29173 | TX | Primary |
Addresses
Primary practice location
3851 SW Green Oaks Blvd Ste 123
Arlington, TX 76017-4130
Mailing address
3851 SW Green Oaks Blvd Ste 123
Arlington, TX 76017-4130
Phone (909) 709-8822
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 |
|---|---|---|---|
| 29173 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidzania Forney PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
3851 SW Green Oaks Blvd
Ste 123
Arlington, TX 76017
Phone (817) 483-2445
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Forney, TX
- NPI 1649855792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1902965940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 SW GREEN OAKS BLVD STE 123",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760174130",
"telephone_number": "909-709-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 SW GREEN OAKS BLVD STE 123",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760174130",
"telephone_number": "909-709-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHARRAPH",
"first_name": "HUSSAM",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "29173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.