Active NPI
Marybeth Ezaki, M.D.
- Orthopaedic Hand Surgery Physician
- Dallas, TX
National Provider Identifier
1255453288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- F1535
- Practice address
- 2222 Welborn Street
Dallas, TX 75219-3924 - Phone
- (214) 559-5000
- Fax
- (214) 443-7309
- NPI assigned
- Apr 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | F1535 | TX | Primary |
Addresses
Primary practice location
2222 Welborn Street
Dallas, TX 75219-3924
Mailing address
2222 Welborn St
Dallas, TX 75219-3924
Phone (214) 559-5000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1535 | TX | MD | Orthopaedic Hand Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1255453288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 WELBORN ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193924",
"telephone_number": "214-559-5000",
"fax_number": "214-443-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 WELBORN STREET",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193924",
"telephone_number": "214-559-5000",
"fax_number": "214-443-7309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZAKI",
"first_name": "MARYBETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "TX",
"license": "F1535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.