Indira Fazlijevic Jusic, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22495 Issued in TX

Practice address

1050 W Arkansas LN
Arlington, TX 76013-6308

Phone

(817) 702-3567

Fax

(817) 920-6371

NPI assigned

Mar 5, 2007

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1992834766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732973",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732973",
            "telephone_number": "817-702-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W ARKANSAS LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136308",
            "telephone_number": "817-702-3567",
            "fax_number": "817-920-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSIC",
        "first_name": "INDIRA",
        "middle_name": "FAZLIJEVIC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Julien, FNP
• Kafeelat O Junaid
• Andy Jung
• Luna Jurd, LPC-ASSOCIATE
• Krystin Jurries
• Just Right Home Care LLC
• Kelli Diane Justusson, MS
• JW Eye Associates, PLLC (Key Whitman Eye Center)
• JW Facilities LLC, Dba JW Boarding Homes (JW Boarding Homes)
• Jwatkinsllc (Bridge Orthopedic Solutions)

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.