Individual provider Active NPI

Husein S Zegar, DDS

  • Dentist
  • Surprise, AZ
National Provider Identifier
1396970216
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6433 Issued in AZ
Practice address
16630 W Greenway Rd Ste 319
Surprise, AZ 85388-2189
Phone
(623) 582-9622
Fax
(623) 537-5430
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D6433 AZ Primary

Addresses

Primary practice location

16630 W Greenway Rd Ste 319
Surprise, AZ 85388-2189

Mailing address

16630 W Greenway Rd Ste 319
Surprise, AZ 85388-2189
Phone (623) 582-9622

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

LicenseStateTypeSpecialty
D6433AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1396970216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16630 W GREENWAY RD STE 319",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882189",
            "telephone_number": "623-582-9622",
            "fax_number": "623-537-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16630 W GREENWAY RD STE 319",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882189",
            "telephone_number": "623-582-9622",
            "fax_number": "623-537-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGAR",
        "first_name": "HUSEIN",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.