Active NPI
Fnu Sufia Kazima
- Dentist
- The Colony, TX
National Provider Identifier
1790238533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10352
- Practice address
- 4680 Windhaven Pkwy Ste 200
The Colony, TX 75056-7030 - Phone
- (469) 966-4893
- NPI assigned
- Jul 28, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10352 | TN | Primary |
Addresses
Primary practice location
4680 Windhaven Pkwy Ste 200
The Colony, TX 75056-7030
Mailing address
4680 Windhaven Pkwy Ste 200
The Colony, TX 75056-7030
Phone (469) 966-4893
Other practice location 1
2900 Kirby Rd Ste 9
Memphis, TN 38119-8207
Phone (901) 755-7392
Other practice location 2
3068 Covington Pike Ste 2
Memphis, TN 38128-5001
Phone (901) 371-8850
Other names 1
- Sufia Kazima
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 |
|---|---|---|---|
| 10352 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Makers of Memphis PC | Past | Accepting new patients |
Organizations & group practices 1
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
- Memphis, TN
- NPI 1992921381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1790238533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4680 WINDHAVEN PKWY STE 200",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750567030",
"telephone_number": "469-966-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 WINDHAVEN PKWY STE 200",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750567030",
"telephone_number": "469-966-4893"
}
],
"practiceLocations": [
{
"address_1": "2900 Kirby Rd Ste 9",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381198207",
"country_code": "US",
"telephone_number": "901-755-7392",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3068 Covington Pike Ste 2",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381285001",
"country_code": "US",
"telephone_number": "901-371-8850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUFIA KAZIMA",
"first_name": "FNU",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUFIA",
"last_name": "KAZIMA",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.