Tarek Hassan Elzawahry, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14287 Issued in FL

Practice address

311 Airport Rd
Panama City, FL 32405-4607

Phone

(850) 914-0550

Fax

(850) 914-8511

NPI assigned

Oct 9, 2013

Last updated

Oct 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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.

• Advanced Dental Clinic PA

  • Dentist
  • Panama City, FL
  • NPI 1063420347
  NPD (past) Authorized official

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1154758076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 KINGS HARBOUR RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051628",
            "telephone_number": "850-914-0550",
            "fax_number": "850-914-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AIRPORT RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054607",
            "telephone_number": "850-914-0550",
            "fax_number": "850-914-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZAWAHRY",
        "first_name": "TAREK",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osama Elshazly, M.D.
• Arzu Ersoy Elzawahry, DMD
• Hoda K Elzawahry, M.D.
• Kamel Elzawahry, MD
• Tamam Elzawahry
• Emerald Bay Surgical Associates LLC
• Emerald Coast Behavioral Hospital LLC (Emerald Coast Behavioral Hospital)
• Emerald Coast Behavioral Hospital, LLC
• Emerald Coast Eye Care
• Emerald Coast Home Care, Inc. (Visiting Angels of the Emerald Coast)

• General Practice Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.