Individual provider Active NPI

Eyad Nusayr, BDS, PHD, MSD

  • Oral Medicine Dentistry
  • Federal Way, WA
National Provider Identifier
1588243448
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral Medicine DentistryTaxonomy code 125Q00000X
License
DE61100565 Issued in WA
Practice address
34709 9TH Ave S
Federal Way, WA 98003-8722
Phone
(253) 874-2583
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61100565 WA
Oral Medicine Dentistry 125Q00000X DE61100565 WA Primary

Addresses

Primary practice location

34709 9TH Ave S
Federal Way, WA 98003-8722

Mailing address

34709 9TH Ave S Ste B300
Federal Way, WA 98003-8715
Phone (253) 874-2583

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL athenanet.athenahealth.com Direct Athena Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002002070 WA Practitioner - DentistPractitioner - Pain ManagementPractitioner - Sleep Medicine 3476916958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Pain Management, Sleep Medicine
Education
University of Washington School of Dentistry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34709 9TH Ave S
Suite B300
Federal Way, WA 98003-8715
Phone (253) 874-2583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Nusayr PLLC Oral Medicine CurrentSince Jun 21, 2023 Accepting new patients

Locations

5860 N Canton Center Rd
Ste 360
Canton, MI 48187
Phone (734) 414-4000

34709 9th Ave S
Ste B300
Federal Way, WA 98003
Phone (253) 838-1476

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1588243448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S STE B300",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038715",
            "telephone_number": "253-874-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038722",
            "telephone_number": "253-874-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSAYR",
        "first_name": "EYAD",
        "name_prefix": "Dr.",
        "credential": "BDS, PHD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61100565",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "WA",
            "license": "DE61100565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenanet.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "AthenaHealth is a cloud-based EHR system that offers a network of built-in, global integrations that enable timely data exchange with other EHRs and the broader healthcare ecosystem.",
            "affiliationName": "Athena Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR and office management",
            "address_1": "5860 N Canton Center Rd",
            "address_2": "suite 360",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481872687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.