Mahmoud Serag, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

0130 Issued in NC

Practice address

370 Jackson St
Durham, NC 27701-1192

Phone

(919) 980-9885

NPI assigned

Oct 23, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Smiles 4 Durham Inc

  dba Local Start Dental Inc

  • Health Service Clinic/Center
  • Durham, NC
  • NPI 1376123182
  Medicare reassignment NPD Authorized official
• East Carolina University

  dba ECU Physicians

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  dba East Carolina University School of Dental Medicine

  • Dentist
  • Greenville, NC
  • NPI 1669750014
  NPD

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1558799916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 JACKSON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011192",
            "telephone_number": "919-980-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 JACKSON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011192",
            "telephone_number": "919-980-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAG",
        "first_name": "MAHMOUD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "0130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Fratellone Senviel, D.C.
• Kimberly Hutter Sepe, NP-C
• Nicolas James Sepe, DNP, CRNA
• Lucille Rose Sepic
• Richard Sepka
• Serene Minds Mental Health PLLC
• Serenity Care & Wellness, PLLC
• Serenity Home Health Care, LLC (Precise Lab Services)
• Tatiana Sergent
• Jill Elizabeth Sergison, CNM

• Prosthodontics in Durham, NC
• Providers in Durham, NC by specialty
• Prosthodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.