Individual provider Active NPI

Ahmed E Elsayed, DDS

  • Dentist
  • Madera, CA
National Provider Identifier
1689741613
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50645 Issued in CA
Practice address
1100 N Gateway Dr
Madera, CA 93637-9600
Phone
(559) 661-5122
Fax
(559) 661-5128
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50645 CA Primary

Addresses

Primary practice location

1100 N Gateway Dr
Madera, CA 93637-9600

Mailing address

7526 N Paula Ave
Fresno, CA 93720-6413
Phone (909) 800-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20200917003248 CA Practitioner - Dentist 0648585406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed Elsayed Dental Corporation CurrentSince Aug 4, 2008 Accepting new patients
Western Dental Services, Inc. Past Accepting new patients

Locations

2311 W Cleveland Ave
Ste 103
Madera, CA 93637
Phone (559) 661-4114

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1689741613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7526 N PAULA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937206413",
            "telephone_number": "909-800-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N GATEWAY DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936379600",
            "telephone_number": "559-661-5122",
            "fax_number": "559-661-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "AHMED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.