Active NPI
Inas Talib Kshash Abu-Tabra, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1972012995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33293
- Practice address
- 9824 Fondren Rd
Houston, TX 77096-3648 - Phone
- (832) 376-8453
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33293 | TX | Primary |
Addresses
Primary practice location
9824 Fondren Rd
Houston, TX 77096-3648
Mailing address
12655 W Houston Center Blvd
Houston, TX 77082-2756
Phone (832) 298-2132
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 |
|---|---|---|---|
| 33293 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1972012995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12655 W HOUSTON CENTER BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822756",
"telephone_number": "832-298-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9824 FONDREN RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770963648",
"telephone_number": "832-376-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABU-TABRA",
"first_name": "INAS",
"middle_name": "TALIB KSHASH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.