Individual provider Active NPI

Sherif Elbarnashawy, BDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Longview, TX
National Provider Identifier
1477073310
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
35891 Issued in TX
Practice address
2539 Judson Rd
Longview, TX 75605-4643
Phone
(903) 331-0359
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X RES.003792 OH
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 35891 TX Primary

Addresses

Primary practice location

2539 Judson Rd
Longview, TX 75605-4643

Mailing address

26430 White Rd
Richmond Heights, OH 44143-1425
Phone (631) 452-6253

Other practice location 1

2124 Cornell Rd
Cleveland, OH 44106-3804
Phone (216) 368-1168

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
RES.003792OHMDOrthodontics and Dentofacial Orthopedic Dentist
35891TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1477073310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26430 WHITE RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431425",
            "telephone_number": "631-452-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054643",
            "telephone_number": "903-331-0359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 Cornell Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441063804",
            "country_code": "US",
            "telephone_number": "216-368-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELBARNASHAWY",
        "first_name": "SHERIF",
        "name_prefix": "Dr.",
        "credential": "BDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "RES.003792",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "35891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.