Syeda Maryam Zehra, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2024048570 Issued in MO

Practice address

167 Clarkson Executive Park
Ellisville, MO 63011-2176

Phone

(866) 988-4504

NPI assigned

May 3, 2023

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dreamline Dental Sleep Clinic LLC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1477415826
  NPD Authorized official
• Access Dental Center Inc

  dba Brookhaven Family Dentistry

  • General Practice Dentistry
  • Brookhaven, PA
  • NPI 1871869461
  NPD (past)

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1154010361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 WILDHORSE LAKE BLVD APT 143",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054248",
            "telephone_number": "201-508-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 CLARKSON EXECUTIVE PARK",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112176",
            "telephone_number": "866-988-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHRA",
        "first_name": "SYEDA",
        "middle_name": "MARYAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2024048570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C Woodcock, D.C.
• Phillip D Worrell, R.PH., J.D.
• Sharon K Worrell, R.PH.
• Wound Healing Care Specialists Mo Inc (Wound Healing Care Specialists Missouri)
• Sandra Irene Young, LPC
• Charles Marcus Zieba, DMD
• Heather Lea Zieba, DMD
• Brooke Zoller

• General Practice Dentistry in Ellisville, MO
• Providers in Ellisville, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.