Individual provider Active NPI

Ibraiz Quamar, D.D.S.

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1912451550
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32194 Issued in TX
Practice address
6208 Mickelson Way
McKinney, TX 75070-7395
Phone
(214) 796-4416
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32194 TX Primary

Addresses

Primary practice location

6208 Mickelson Way
McKinney, TX 75070-7395

Mailing address

6208 Mickelson Way
McKinney, TX 75070-7395
Phone (214) 796-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170123001538 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3577845817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32194TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1912451550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 MICKELSON WAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707395",
            "telephone_number": "214-796-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 MICKELSON WAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707395",
            "telephone_number": "214-796-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAMAR",
        "first_name": "IBRAIZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.