NPIMap

Organization Active NPI

Envision Dental Spa PLLC

  • Dentist
  • Arlington, TX
National Provider Identifier
1972202786
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ENVISION DENTAL SPA PLLC
Practice address
2411 Westwood Dr
Arlington, TX 76012-2906
Phone
(817) 261-3392
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Dr. Manar Kabbani, DDSNPI 1104499698
Title
Owner
Phone
(918) 361-1108

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2411 Westwood Dr
Arlington, TX 76012-2906

Mailing address

2411 Westwood Dr
Arlington, TX 76012-2906
Phone (817) 261-3392

National Provider Directory

National Provider Directory

Locations

2411 Westwood Dr
Arlington, TX 76012
Phone (817) 261-3392

Practitioners & affiliated clinicians

Practitioners 1

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": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1972202786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 WESTWOOD DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122906",
            "telephone_number": "817-261-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WESTWOOD DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122906",
            "telephone_number": "817-261-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION DENTAL SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "KABBANI",
        "authorized_official_first_name": "MANAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-361-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.