Active NPI
Hisham Sabri, DMD
- Dentist
- Phoenix, AZ
National Provider Identifier
1942986187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012108
- Practice address
- 4717 E Ray Rd
Phoenix, AZ 85044-6230 - Phone
- (480) 755-4455
- NPI assigned
- Jun 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | D012108 | AZ | Primary |
Addresses
Primary practice location
4717 E Ray Rd
Phoenix, AZ 85044-6230
Mailing address
4717 E Ray Rd
Phoenix, AZ 85044-6230
Phone (480) 755-4455
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 |
|---|---|---|---|
| D012108 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1942986187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4717 E RAY RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446230",
"telephone_number": "480-755-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 E RAY RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446230",
"telephone_number": "480-755-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABRI",
"first_name": "HISHAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-22",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.