Active NPI
Jayesha Hussain, DDS
- General Practice Dentistry
- Farmers Branch, TX
National Provider Identifier
1679615512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21330
- Practice address
- 14510 Josey Lane Suite 206
Farmers Branch, TX 75234 - Phone
- (972) 243-3739
- Fax
- (972) 243-5443
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21330 | TX | Primary |
Addresses
Primary practice location
14510 Josey Lane Suite 206
Farmers Branch, TX 75234
Mailing address
1801 Lantana CT
Southlake, TX 76092-3571
Phone (972) 243-3739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150610000869 | TX | Order and Referring Only - Dentist | 1456672880 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21330 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perla Dental of Kaufman PA | General Practice | Current | Accepting new patients |
| Perla Dental of Keller PA | Current | Accepting new patients | |
| Perla Dental of Farmers Branch | Past | Accepting new patients |
Locations
380 E US Highway 175
Ste 120
Kaufman, TX 75142
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Kaufman, TX
- NPI 1407455173
-
- Dentist
- Fort Worth, TX
- NPI 1497354179
-
- Dentist
- Farmers Branch, TX
- NPI 1114138591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679615512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 LANTANA CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923571",
"telephone_number": "972-243-3739",
"fax_number": "972-243-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14510 JOSEY LANE SUITE 206",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "75234",
"telephone_number": "972-243-3739",
"fax_number": "972-243-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "JAYESHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.