Individual provider Active NPI

Erum Hussain, DMD

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1144623299
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30513 Issued in TX
Practice address
5858 S Padre Island Dr
Suite 54 a
Corpus Christi, TX 78412-3932
Phone
(361) 994-4867
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30513 TX Primary

Addresses

Primary practice location

5858 S Padre Island Dr
Suite 54 a
Corpus Christi, TX 78412-3932

Mailing address

5858 S Padre Island Dr
Suite 54 a
Corpus Christi, TX 78412-3932
Phone (361) 994-4867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20160823000620 OR Order and Referring Only - DentistPractitioner - Dentist 6901191469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30513TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1144623299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 S PADRE ISLAND DR",
            "address_2": "SUITE 54 A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123932",
            "telephone_number": "361-994-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 S PADRE ISLAND DR",
            "address_2": "SUITE 54 A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123932",
            "telephone_number": "361-994-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "ERUM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.