Active NPI
Mohamed Abou El Naga, BDS, MS, CAGS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Waxahachie, TX
National Provider Identifier
1699014548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 39009
- Practice address
- 2171 N Highway 77
Waxahachie, TX 75165-6215 - Phone
- (319) 333-6841
- NPI assigned
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | FDN3 | ME | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 39009 | TX | Primary |
Addresses
Primary practice location
2171 N Highway 77
Waxahachie, TX 75165-6215
Mailing address
2171 N Highway 77
Waxahachie, TX 75165-6215
Phone (319) 384-1139
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FDN3 | ME | MD | Dentist |
| 39009 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1699014548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 N HIGHWAY 77",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751656215",
"telephone_number": "319-384-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2171 N HIGHWAY 77",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751656215",
"telephone_number": "319-333-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOU EL NAGA",
"first_name": "MOHAMED",
"name_prefix": "Dr.",
"credential": "BDS, MS, CAGS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-12",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "FDN3",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "39009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.