SAMIR ALRAJAB (NPI# 1972059103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972059103 |
| Entity Type | Individual |
| Full Name | SAMIR ALRAJAB |
| Credential | DMD |
| Practice Address |
500 Canyon Ridge Dr Austin TX 78753-1632 |
| Mailing Address |
11721 Domain Blvd Unit #3344 Austin TX 78758 |
| Practice Telephone | 5128372900 |
| Mailing Telephone | 8328604052 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 32219 | TX | Dental Providers |
| Street Address |
500 CANYON RIDGE DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366418519 | Kirby Reed | Nurse Practitioner | 500 Canyon Ridge Dr, Suite J350, Austin, TX 78753-1632 | 2006-02-27 |
| 1134772122 | Richard Barnum Gustafson | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2019-07-19 |
| 1396198552 | Melissa Jean Harper | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2016-07-22 |
| 1164853461 | Carrie Banigan Hodges | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-12-11 |
| 1497189195 | Gabrielle Mccart | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-08-29 |
| 1861733735 | Mark Zamutt | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-03-01 |
| 1407196363 | Shannon Zucca | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-02-28 |
| 1558679662 | Rediclinic Austin, LLC | Clinic/Center | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-09-23 |
| 1437476256 | Todd Ellsworth | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-05-04 |
| 1720305634 | Anita Jenson | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1477181014 | The Doctors Morren, Pllc | Dentist | 3810 N Quinlan Park Rd, Austin, TX 78732 | 2020-03-30 |
| 1003462045 | Ac Dentistry Pllc | Dentist | 13616 N Highway 183, Austin, TX 78750-2311 | 2019-08-15 |
| 1619520087 | Iana Elledge | Dentist | 4801 Amarra Dr, Austin, TX 78735-1845 | 2019-07-24 |
| 1861044265 | John Dinh Le | Dentist | 801 E William Cannon Dr Ste 201, Austin, TX 78745-6671 | 2019-07-15 |
| 1669030979 | Angela Patricia Velasquez | Dentist | 6601 Rialto Blvd Apt 6213, Austin, TX 78735-0063 | 2019-06-01 |
| 1093281289 | Brush32 Dental of South Congress Pllc | Dentist | 8900 S Congress Ave, Ste 400, Austin, TX 78745-7393 | 2018-10-16 |
| 1295216752 | Chia-chen Tsai | Dentist | 1500 W William Cannon Dr Apt 239, Austin, TX 78745-3767 | 2018-08-23 |
| 1194205427 | Mairna Qandla | Dentist | 10500 Avery Club Dr Unit 2, Austin, TX 78717-3937 | 2018-08-16 |
| 1487131470 | Brijita Parekh | Dentist | 6302 Libyan Dr, Austin, TX 78745-4971 | 2018-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.