Fawzy Tadros, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49677 Issued in CA

Practice address

12601 San Fernando Rd Ste H
Sylmar, CA 91342-7733

Phone

(818) 364-1991

Fax

(818) 364-1993

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By 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

Enrolled in CA

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

Medicare enrollment (NPD)

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.

• Fawzy Tadros DDS.Inc

  dba Saint Mina family dental

  • Dental Clinic/Center
  • Sylmar, CA
  • NPI 1639417306
  NPD (past) Authorized official

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1376703686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 SAN FERNANDO RD STE H",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427733",
            "telephone_number": "818-364-1991",
            "fax_number": "818-364-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SAN FERNANDO RD STE H",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427733",
            "telephone_number": "818-364-1991",
            "fax_number": "818-364-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "FAWZY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylmar Treatment Center LLC.
• Moira Szilagyi, MD
• Christina Ta, PHARMD
• Vinhfield Xuan Ta, M.D.
• Jessica Kristine Tabrizizadeh
• Breena Rachel Taira, M.D.
• Maria-Teresa Talatala
• Sheryl Ann Talavera, R.N.
• Doina Elena Tanasescu, MD
• Megan Tanwanseng

• General Practice Dentistry in Sylmar, CA
• Providers in Sylmar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.