Hesham Eltagouri, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

042874 Issued in NY

Practice address

8201 Main St Ste 5
Williamsville, NY 14221-6046

Phone

(716) 630-9999

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By the provider in NPPES

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 NY

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

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.

• Graziano & Tagouri LLP

  • Endodontics
  • Williamsville, NY
  • NPI 1760522833
  NPD (past) Authorized official
• Western New York Endodontics

  • Endodontics
  • Williamsville, NY
  • NPI 1982435558
  NPD (past) Authorized official

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1659689230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST SUITE # 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-630-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216046",
            "telephone_number": "716-630-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAGOURI",
        "first_name": "HESHAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "042874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elliott
• Jordan Elliott
• Prashula Ellsworth, PHYSICIAN ASSISTANT
• Richard S Elman, MD
• Jenna Elphick
• James Howard Ely
• Lora Emel, M.A. CCC-SLP
• Emergency Physician, PC
• Robyn Marie Emery, RPA-C
• Courtney M Emke, LPN

• Endodontics in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.