Active NPI
Joyce Nazzal, DDS
- Endodontics
- Sugar Land, TX
National Provider Identifier
1063697175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 23426
- Practice address
- 4647 Sweetwater Blvd
#C
Sugar Land, TX 77479-3174 - Phone
- (281) 340-3636
- Fax
- (281) 340-3638
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 23426 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 0023426 | TX |
Addresses
Primary practice location
4647 Sweetwater Blvd
#C
Sugar Land, TX 77479-3174
Mailing address
4647 Sweetwater Blvd
#C
Sugar Land, TX 77479-3174
Phone (281) 340-3636
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 |
|---|---|---|---|
| 23426 | TX | MD | Endodontist |
| 0023426 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1063697175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4647 SWEETWATER BLVD",
"address_2": "#C",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774793174",
"telephone_number": "281-340-3636",
"fax_number": "281-340-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 SWEETWATER BLVD",
"address_2": "#C",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774793174",
"telephone_number": "281-340-3636",
"fax_number": "281-340-3638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZZAL",
"first_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "23426",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "0023426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.