Active NPI
Zaynab Hussam, DDS
- Dentist
- Omaha, NE
National Provider Identifier
1316678295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 178
- Practice address
- 8200 Dodge St
Omaha, NE 68114-4113 - Phone
- (573) 303-1237
- NPI assigned
- Jun 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2022019323 | MO | |
| Dentist | 122300000X | 178 | NE | Primary |
Addresses
Primary practice location
8200 Dodge St
Omaha, NE 68114-4113
Mailing address
227 Main St
Festus, MO 63028-1952
Phone (636) 931-2700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022019323 | MO | MD | Dentist |
| 178 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1316678295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 MAIN ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281952",
"telephone_number": "636-931-2700",
"fax_number": "636-931-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "573-303-1237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAM",
"first_name": "ZAYNAB",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2022019323",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.