Individual provider Active NPI

Abdirahman Nur, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1972838415
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28649 Issued in TX
Practice address
5505 W Orem Dr Ste 200
Houston, TX 77085-1277
Phone
(713) 723-9200
Fax
(713) 723-9202
NPI assigned
Oct 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020107 MI
General Practice Dentistry 1223G0001X 28649 TX Primary

Addresses

Primary practice location

5505 W Orem Dr Ste 200
Houston, TX 77085-1277

Mailing address

5505 W Orem Dr Ste 200
Houston, TX 77085-1277
Phone (713) 723-9200

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
I20161213001411 TX Practitioner - Oral Surgery 1557641305 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020107MIMDGeneral Practice Dentistry
28649TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Dentistry Hillcroft, PLLC General Practice CurrentSince Nov 7, 2016 Accepting new patients
Abc Dentistry Pasadena, PA General Practice CurrentSince Nov 7, 2016 Accepting new patients
Abc Dentistry Crosstimbers, PLLC General Practice CurrentSince Nov 7, 2016 Accepting new patients
Abc Dentistry Strawberry, PLLC General Practice CurrentSince Nov 7, 2016 Accepting new patients
Abc Dentistry Old Spanish Trail, PLLC General Practice CurrentSince Nov 7, 2016 Accepting new patients
Abc Dentistry West Orem, PLLC General Practice CurrentSince Nov 7, 2016 Accepting new patients
NBNL Dental PLLC General Practice PastSince Sep 13, 2020 Accepting new patients

Locations

6704 Hillcroft Ave
Houston, TX 77081
Phone (713) 995-1700

5751 Blythewood St
Ste 100
Houston, TX 77021
Phone (713) 747-2500

5505 W Orem Dr
Ste 200
Houston, TX 77085
Phone (713) 723-9200

4400 North Fwy
Spc C300
Houston, TX 77022
Phone (713) 691-1300

1313 Strawberry Rd
Pasadena, TX 77502
Phone (713) 472-6100

1319 Strawberry Rd
Pasadena, TX 77502
Phone (281) 571-3700

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1972838415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W OREM DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770851277",
            "telephone_number": "713-723-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W OREM DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770851277",
            "telephone_number": "713-723-9200",
            "fax_number": "713-723-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUR",
        "first_name": "ABDIRAHMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020107",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.