Individual provider Active NPI

Ehab Moussa, DDS

  • Periodontics
  • Metairie, LA
National Provider Identifier
1548689359
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3389 Issued in OH
Practice address
1128 Clearview Pkwy
Metairie, LA 70001-3418
Phone
(504) 733-1135
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 3389 OH Primary

Addresses

Primary practice location

1128 Clearview Pkwy
Metairie, LA 70001-3418

Mailing address

1128 Clearview Pkwy
Metairie, LA 70001-3418
Phone (504) 733-1135

Other practice location 1

5300 Tchoupitoulas St Ste F4
New Orleans, LA 70115-1963
Phone (504) 229-3342

Other practice location 2

101 Smart Pl
Slidell, LA 70458-2039
Phone (985) 643-2616

Other practice location 3

7278 Highland Rd Ste C
Baton Rouge, LA 70808-6604
Phone (225) 329-1140

Other practice location 4

34659 La Highway 16
Denham Springs, LA 70706-0667
Phone (225) 998-1999

Other practice location 5

2521 Ames Blvd Ste C
Marrero, LA 70072-5154
Phone (504) 340-9696

Other names 1

  • Ehab Guirges Other name

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
3389OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Dental of Highland, LLC PastSince Oct 25, 2020 Accepting new patients
Exceptional Dental of Uptown, LLC PastSince Dec 9, 2019 Accepting new patients
Ronald J Liuzza DDS PastSince Mar 28, 2021 Accepting new patients
Doctors Dental 05, LLC Past Accepting new patients

Organizations & group practices 4

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1548689359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700013418",
            "telephone_number": "504-733-1135",
            "fax_number": "504-754-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700013418",
            "telephone_number": "504-733-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Tchoupitoulas St Ste F4",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701151963",
            "country_code": "US",
            "telephone_number": "504-229-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Smart Pl",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582039",
            "country_code": "US",
            "telephone_number": "985-643-2616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7278 Highland Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708086604",
            "country_code": "US",
            "telephone_number": "225-329-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34659 La Highway 16",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707060667",
            "country_code": "US",
            "telephone_number": "225-998-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2521 Ames Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700725154",
            "country_code": "US",
            "telephone_number": "504-340-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "EHAB",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "3389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EHAB",
            "last_name": "GUIRGES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

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

Verify at the official NPI Registry.