Individual provider Active NPI

Momal Muneer Umrani, DDS

  • Pediatric Dentistry
  • Rowlett, TX
National Provider Identifier
1952717167
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30226 Issued in TX
Practice address
5404 Kenwood Dr
Rowlett, TX 75089-3104
Phone
(806) 765-2605
Fax
(806) 687-5957
NPI assigned
Jul 8, 2014
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30226 TX Primary

Addresses

Primary practice location

5404 Kenwood Dr
Rowlett, TX 75089-3104

Mailing address

5404 Kenwood Dr
Rowlett, TX 75089-3104
Phone (832) 766-1090

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
I20141119000068 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850513268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30226TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1952717167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 KENWOOD DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750893104",
            "telephone_number": "832-766-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 KENWOOD DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750893104",
            "telephone_number": "806-765-2605",
            "fax_number": "806-687-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMRANI",
        "first_name": "MOMAL",
        "middle_name": "MUNEER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "30226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.