Active NPI
Fady Guirguis, DDS
- Dentist
- Humble, TX
National Provider Identifier
1053657577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31480
- Practice address
- 9648 FM 1960 Bypass Rd W
Humble, TX 77338-4039 - Phone
- (917) 602-3213
- NPI assigned
- Jan 2, 2013
- Last updated
- Nov 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D102524800 | NJ | |
| Dentist | 122300000X | 056888 | NY | |
| Dentist | 122300000X | 31480 | TX | Primary |
Addresses
Primary practice location
9648 FM 1960 Bypass Rd W
Humble, TX 77338-4039
Mailing address
9648 FM 1960 Bypass Rd W.
Humble, TX 77338-6558
Phone (917) 602-3213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D102524800 | NJ | MD | Dentist |
| 056888 | NY | MD | Dentist |
| 31480 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Dental Care USA Spring Texas PLLC | Dentist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Spring, TX
- NPI 1851109250
-
dba Prime Dental Care USA
- General Practice Dentistry
- Missouri City, TX
- NPI 1538981477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1053657577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9648 FM 1960 BYPASS RD W.",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773386558",
"telephone_number": "917-602-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9648 FM 1960 BYPASS RD W",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384039",
"telephone_number": "917-602-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIRGUIS",
"first_name": "FADY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-02",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D102524800",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056888",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.