Organization Active NPI

Gharraph,PC

  • Pediatric Dentistry
  • Arlington, TX
National Provider Identifier
1982022745
Registry record updated Mar 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
29173 Issued in TX
Legal business name
GHARRAPH,PC
Practice address
3851 SW Green Oak Blvd
123
Arlington, TX 76017-4130
Phone
(817) 483-2445
NPI assigned
Mar 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2014

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

Authorized official

Name
Dr. Hussam M Gharraph, DDS
Title
Owner/Director
Phone
(909) 709-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 29173 TX Primary

Addresses

Primary practice location

3851 SW Green Oak Blvd
123
Arlington, TX 76017-4130

Mailing address

4609 Gardenia Way
Plano, TX 75093-7093
Phone (909) 709-8822

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396137600000",
    "number": "1982022745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 GARDENIA WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937093",
            "telephone_number": "909-709-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 SW GREEN OAK BLVD",
            "address_2": "123",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174130",
            "telephone_number": "817-483-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHARRAPH,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-30",
        "last_updated": "2014-03-30",
        "status": "A",
        "authorized_official_last_name": "GHARRAPH",
        "authorized_official_first_name": "HUSSAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "909-709-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29173",
            "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 30, 2014; 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.