Active NPI
Syed Hammad Reza, DDS
- General Practice Dentistry
- Rowlett, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37357
- Practice address
- 3316 Lakeview Pkwy Ste 101
Rowlett, TX 75088-3365 - Phone
- (972) 535-2100
- NPI assigned
- Sep 2, 2020
- Last updated
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7377 | OK | MD | General Practice Dentistry |
| 37357 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Tyler, TX
- NPI 1629598586
-
dba Aspen Dental
- General Practice Dentistry
- Tulsa, OK
- NPI 1033571104
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.