Active NPI
Shurouk Zakia Azzo, DDS MPH
- Dentist
- Plano, TX
National Provider Identifier
1134636574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33643
- Practice address
- 7516 Trevino Dr
Plano, TX 75025-6129 - Phone
- (972) 900-2470
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33643 | TX | Primary |
Addresses
Primary practice location
7516 Trevino Dr
Plano, TX 75025-6129
Mailing address
7516 Trevino Dr
Plano, TX 75025-6129
Phone (972) 900-2470
Other names 1
- Charouk Zakia
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 |
|---|---|---|---|
| 33643 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1134636574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7516 TREVINO DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750256129",
"telephone_number": "972-900-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7516 TREVINO DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750256129",
"telephone_number": "972-900-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKIA AZZO",
"first_name": "SHUROUK",
"name_prefix": "Dr.",
"credential": "DDS MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHAROUK",
"last_name": "ZAKIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.