Active NPI
Sameh Fikri Alzayat, DDS
- Pediatric Dentistry
- Cedar Park, TX
National Provider Identifier
1710137427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22107
- Practice address
- 2051 Cypress Creek Rd Ste N
Cedar Park, TX 78613-3624 - Phone
- (512) 258-8888
- Fax
- (512) 583-0375
- NPI assigned
- Sep 30, 2008
- Last updated
- Mar 27, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 53689 | CA | |
| Pediatric Dentistry | 1223P0221X | 22107 | TX | Primary |
Addresses
Primary practice location
2051 Cypress Creek Rd Ste N
Cedar Park, TX 78613-3624
Mailing address
2051 Cypress Creek Rd Ste N
Cedar Park, TX 78613-3624
Phone (512) 258-8888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22107 | Other | TX | STATE LICENSE |
| 53689 | Other | CA | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22107 | TX | MD | Pediatric Dentist |
| 53689 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1710137427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 CYPRESS CREEK RD STE N",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133624",
"telephone_number": "512-258-8888",
"fax_number": "512-583-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 CYPRESS CREEK RD STE N",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133624",
"telephone_number": "512-258-8888",
"fax_number": "512-583-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALZAYAT",
"first_name": "SAMEH",
"middle_name": "FIKRI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "53689",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "22107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "22107",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "53689",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
- Alta Therapy Center PLLC
- Graciela Margarita Alvarado de Garcia, I.B.C.L.C.
- Isabel Alvarado, MS, LAT, ATC
- Kristina Marie Alvarez, BCBA, LBA
- Zenia Alvizo
- Amani Pediatric Dentistry PLLC
- Rafael Amaro, M.D.
- American Specialty Pharmacy Inc (ASPCares)
- Americus Cedar Park Sleep Center, LP
- Americus Healthcare, DME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.