Individual provider Active NPI

Jawairia Waheed, DDS

  • Dentist
  • Dallas, TX
National Provider Identifier
1316424823
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34448 Issued in TX
Practice address
330 S Zang Blvd Ste 100
Dallas, TX 75208-6622
Phone
(214) 941-9400
NPI assigned
Jul 26, 2018
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34448 TX Primary

Addresses

Primary practice location

330 S Zang Blvd Ste 100
Dallas, TX 75208-6622

Mailing address

2921 Ramblewood Way
Plano, TX 75023-3475
Phone (214) 704-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240106000080 TX Order and Referring Only - DentistPractitioner - Dentist 1951752625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34448TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantis Dental Care, P.C, Dentist PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1316424823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 RAMBLEWOOD WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750233475",
            "telephone_number": "214-704-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S ZANG BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086622",
            "telephone_number": "214-941-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHEED",
        "first_name": "JAWAIRIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.