Individual provider Active NPI

Juveria Syed Ali Hussain

  • Pediatric Dentistry
  • Richardson, TX
National Provider Identifier
1649632365
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
33902 Issued in TX
Practice address
3610 Shire Blvd Ste 110
Richardson, TX 75082-2239
Phone
(214) 501-2721
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 33902 TX Primary

Addresses

Primary practice location

3610 Shire Blvd Ste 110
Richardson, TX 75082-2239

Mailing address

3610 Shire Blvd Ste 110
Richardson, TX 75082-2239
Phone (214) 501-2721

Other practice location 1

2530 W White St Ste 104
Anna, TX 75409-5383
Phone (469) 458-9044

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
33902TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Smiles of Anna PLLC PastSince Sep 6, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1649632365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SHIRE BLVD STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822239",
            "telephone_number": "214-501-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SHIRE BLVD STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822239",
            "telephone_number": "214-501-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 W White St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "TX",
            "postal_code": "754095383",
            "country_code": "US",
            "telephone_number": "469-458-9044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "JUVERIA",
        "middle_name": "SYED ALI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.