Individual provider Active NPI

Mohamed Serwan

  • Prosthodontics
  • Humble, TX
National Provider Identifier
1568140606
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
40848 Issued in TX
Practice address
9360 N Sam Houston Pkwy E Ste 800
Humble, TX 77396-5028
Phone
(281) 310-5278
NPI assigned
Jul 10, 2023
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 40848 TX Primary

Addresses

Primary practice location

9360 N Sam Houston Pkwy E Ste 800
Humble, TX 77396-5028

Mailing address

9360 N Sam Houston Pkwy E Ste 800
Humble, TX 77396-5028
Phone (281) 310-5278

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
40848TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Washington Quirt Mongrain Gibree PC General Practice PastSince Apr 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1568140606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 N SAM HOUSTON PKWY E STE 800",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773965028",
            "telephone_number": "281-310-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 N SAM HOUSTON PKWY E STE 800",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773965028",
            "telephone_number": "281-310-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERWAN",
        "first_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "40848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.