Individual provider Active NPI

Sophia Hegazin, DDS

  • Dentist
  • Arlington, TX
National Provider Identifier
1457055642
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39669 Issued in TX
Practice address
5005 S Cooper St Ste 173
Arlington, TX 76017-8600
Phone
(817) 635-6453
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39669 TX Primary

Addresses

Primary practice location

5005 S Cooper St Ste 173
Arlington, TX 76017-8600

Mailing address

1885 Dallas Pkwy Ste 900
Plano, TX 75093-4504
Phone (443) 799-6063

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

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Dental, PLLC PastSince Sep 5, 2023 Accepting new patients
Milestone Dental, PLLC PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 2

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1457055642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 DALLAS PKWY STE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934504",
            "telephone_number": "443-799-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 S COOPER ST STE 173",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760178600",
            "telephone_number": "817-635-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGAZIN",
        "first_name": "SOPHIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.