Beshir El-Dahdah

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

32382 Issued in TX

Practice address

6501 S Fry Rd
Ste 800
Katy, TX 77494-3376

Phone

(281) 574-5005

NPI assigned

Mar 3, 2017

Last updated

Mar 3, 2017By the provider in NPPES

Sex

Male

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

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.

• Grand Lakes Dental Group and Orthodontics, PC

  dba Grand Lakes Dental Group and Orthodontics

  • General Practice Dentistry
  • Katy, TX
  • NPI 1265779508
  NPD (past)

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1033659420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 S FRY RD",
            "address_2": "STE 800",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 S FRY RD",
            "address_2": "STE 800",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943376",
            "telephone_number": "281-574-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-DAHDAH",
        "first_name": "BESHIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "32382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Ejianreh
• Lilley A Ekangaki, PTA
• Cassie Ekdahl
• Olufunmilayo O. Ekundare, PMHNP
• Julinar El Khatib
• Ali El-Halwagi, MD
• Nora El-Loubani
• Nushrah Elahi, DDS
• Elara Healthcare, LLC
• Vijayshekar Elati, M.D.

• Prosthodontics in Katy, TX
• Providers in Katy, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.