Individual provider Active NPI

Syed Hammad Reza, DDS

  • General Practice Dentistry
  • Rowlett, TX
National Provider Identifier
1548874977
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37357 Issued in TX
Practice address
3316 Lakeview Pkwy Ste 101
Rowlett, TX 75088-3365
Phone
(972) 535-2100
NPI assigned
Sep 2, 2020
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7377 OK
General Practice Dentistry 1223G0001X 37357 TX Primary

Addresses

Primary practice location

3316 Lakeview Pkwy Ste 101
Rowlett, TX 75088-3365

Mailing address

840 S Lynn Riggs Blvd
Claremore, OK 74017-8301
Phone (214) 662-7869

Other practice location 1

5510 E 41st St Ste C
Tulsa, OK 74135-6009
Phone (918) 641-4635

Other practice location 2

840 S Lynn Riggs Blvd
Claremore, OK 74017-8301
Phone (214) 662-7869

Other practice location 3

4164 S Broadway Ave
Tyler, TX 75701-8719
Phone (903) 939-0703

Other practice location 4

3080 N Eastman Rd
Longview, TX 75605-5174
Phone (903) 686-0086

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
7377OKMDGeneral Practice Dentistry
37357TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander D. Williams, D.D.S., P.C. General Practice Past Accepting new patients
Kunduru Dental PLLC General Practice Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1548874977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740178301",
            "telephone_number": "214-662-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 LAKEVIEW PKWY STE 101",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750883365",
            "telephone_number": "972-535-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5510 E 41st St Ste C",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741356009",
            "country_code": "US",
            "telephone_number": "918-641-4635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 S Lynn Riggs Blvd",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740178301",
            "country_code": "US",
            "telephone_number": "214-662-7869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4164 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757018719",
            "country_code": "US",
            "telephone_number": "903-939-0703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3080 N Eastman Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055174",
            "country_code": "US",
            "telephone_number": "903-686-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZA",
        "first_name": "SYED",
        "middle_name": "HAMMAD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7377",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.