Emeka Abazie DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EMEKA ABAZIE DDS PA

Doing business as

CFD Smile of DeSoto

Practice address

1001 N. Beckley
Suite 304
Desoto, TX 75115

Phone

(972) 224-5397

Fax

(972) 224-0344

NPI assigned

Oct 30, 2020

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Alfaro

Title

Insurance Coordinator

Phone

(972) 224-5397

Specialties & licenses 1

Addresses

Other names 1

• CFD Smile of DeSoto Doing business as

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1548860257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N. BECKLEY",
            "address_2": "SUITE 304",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-224-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N. BECKLEY",
            "address_2": "SUITE 304",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-224-5397",
            "fax_number": "972-224-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMEKA ABAZIE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "972-224-5397"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFD Smile of DeSoto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Desoto, TX
• Providers in Desoto, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.