Active NPI
Abdelrahman Eid Elkady, D.D.S.
- Dentist
- Forney, TX
National Provider Identifier
1437498979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61953
- Practice address
- 132 Kroger Dr Ste 300
Forney, TX 75126-2853 - Phone
- (254) 542-4013
- NPI assigned
- Feb 4, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 61953 | CA | Primary |
Addresses
Primary practice location
132 Kroger Dr Ste 300
Forney, TX 75126-2853
Mailing address
4620 Southpointe Dr
Richardson, TX 75082-3857
Phone (310) 909-6839
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 |
|---|---|---|---|
| 61953 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ea Dental PLLC | Current | Accepting new patients |
Locations
2121 Northwest Hwy
Ste 112
Garland, TX 75041
Phone (469) 331-9460
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1437498979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 SOUTHPOINTE DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823857",
"telephone_number": "310-909-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 KROGER DR STE 300",
"city": "FORNEY",
"state": "TX",
"postal_code": "751262853",
"telephone_number": "254-542-4013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKADY",
"first_name": "ABDELRAHMAN",
"middle_name": "EID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-04",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.