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Amina Soud Adem

Dentist - General Practice β€’ Burleson, TX

Active NPI 1679170112 Individual Practitioner Female Practitioner
Practice location in NPPES

225 Se John Jones Dr Ste 103
Burleson, TX 760288342

Call 8174473535 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

225 Se John Jones Dr Ste 103

Burleson, TX 760288342

Telephone 8174473535
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Dallas, TX; Lake Worth, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Burleson and Texas

22 active clinicians are listed under Dentist - General Practice with a practice address in Burleson, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Burleson

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 363395

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES VA 363395

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

6350 Keller Springs Rd Apt 933

Dallas, TX 752482195

Phone: 5402829907

6014 Azle Ave Ste 100

Lake Worth, TX 761352603

Phone: 8172378249

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1306127147

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 20, 2021

Registered at 225 SE JOHN JONES DR STE 103, BURLESON, TX 760288342 (Tel: 8174473535)

πŸ“
Updated Business Mailing Address January 20, 2021

Registered at 2728 HOOD ST APT 825, DALLAS, TX 752195014 (Tel: 5402829907)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Dentist (license number reported to NPPES: TX 363395)

βœ…
NPI Profile Active October 07, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 07, 2020

Registered at 6014 AZLE AVE STE 100, LAKE WORTH, TX 761352603 (Tel: 8172378249)

πŸ“
Business Mailing Address (Initial Record) October 07, 2020

Registered at 6350 KELLER SPRINGS RD APT 933, DALLAS, TX 752482195 (Tel: 5402829907)

πŸ‘€
Provider Name / Credentials (Initial Record) October 07, 2020

Recorded as AMINA ADEM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2020

Dentist (license number reported to NPPES: VA 363395)

🟒
Initial NPI Registration & Enumeration October 07, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679170112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2020
Last Update: January 20, 2021
Sole Proprietor: Yes

Other Dentist - General Practices in Burleson

All Dentist - General Practices in Burleson

Mailing Address

2728 Hood St Apt 825

Dallas, TX 752195014

Phone: 5402829907

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.