NPIMap

Organization Active NPI

SKM Dentistry PLLC

  • General Practice Dentistry
  • Hurst, TX
National Provider Identifier
1932658481
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31029 Issued in TX
Legal business name
SKM DENTISTRY PLLC
Practice address
800 Forest Oaks LN Ste a
Hurst, TX 76053-4959
Phone
(817) 770-0272
Fax
(817) 770-0271
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Dr. Sara Khalid Mahmood, DDSNPI 1972984623
Title
Dentist/Owner
Phone
(214) 534-1915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31029 TX Primary

Addresses

Primary practice location

800 Forest Oaks LN Ste a
Hurst, TX 76053-4959

Mailing address

800 Forest Oaks LN Ste a
Hurst, TX 76053-4959
Phone (214) 534-1915

Other practice location 1

756 Mary Dr
Hurst, TX 76053-5619
Phone (214) 534-1915

National Provider Directory

National Provider Directory

Locations

756 Mary Dr
Hurst, TX 76053
Phone (214) 534-1915

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1932658481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FOREST OAKS LN STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534959",
            "telephone_number": "214-534-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FOREST OAKS LN STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534959",
            "telephone_number": "817-770-0272",
            "fax_number": "817-770-0271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "756 Mary Dr",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760535619",
            "country_code": "US",
            "telephone_number": "214-534-1915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKM DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "KHALID",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "214-534-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.