Organization Active NPI

Nusayr PLLC

  • Oral Medicine Dentistry
  • Federal Way, WA
National Provider Identifier
1619664208
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral Medicine DentistryTaxonomy code 125Q00000X
Legal business name
NUSAYR PLLC
Practice address
34709 9TH Ave S Ste B300
Federal Way, WA 98003-8715
Phone
(253) 874-2583
NPI assigned
Apr 24, 2023
Organization subpart
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

Authorized official

Name
Dr. Eyad Eyad Nusayr, BDS, PHD, MSDNPI 1588243448
Title
Ceo
Phone
(520) 481-4368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral Medicine DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 125Q00000X Primary

Addresses

Primary practice location

34709 9TH Ave S Ste B300
Federal Way, WA 98003-8715

Mailing address

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

Other names 1

  • South Sound Oral Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL athenanet.athenahealth.com Direct Athena Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230831000306 WA Part B Supplier - Clinic/Group Practice 2567825045 Receives reassigned benefits from 2 practitioners
Practice locations: Federal Way, WA
O20250930001313 WA DME Supplier - Oral Surgery - Dentist 2567825045 Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1619664208",
    "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 STE B300",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038715",
            "telephone_number": "253-874-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSAYR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "NUSAYR",
        "authorized_official_first_name": "EYAD",
        "authorized_official_middle_name": "EYAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-481-4368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, PHD, MSD"
    },
    "taxonomies": [
        {
            "code": "125Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral Medicine",
            "state": null,
            "license": null,
            "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 system",
            "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": [
        {
            "organization_name": "South Sound Oral Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Sound Oral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.