Active NPI
Sameh Girgis, D.M.D
- Dentist
- Kyle, TX
National Provider Identifier
1801272430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36947
- Practice address
- 21150 Interstate 35
Ste.G.
Kyle, TX 78640 - Phone
- (512) 256-3500
- Fax
- (512) 256-1900
- NPI assigned
- Aug 5, 2015
- 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 | 30-024601 | OH | |
| Dentist | 122300000X | 36947 | TX | Primary |
Addresses
Primary practice location
21150 Interstate 35
Ste.G.
Kyle, TX 78640
Mailing address
21150 Interstate 35
Ste.G.
Kyle, TX 78640
Phone (512) 256-3500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-024601 | OH | MD | Dentist |
| 36947 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Dental Associates PLLC | Dentist | Current | Accepting new patients |
| Dental Services of Ohio | Dentist | Past | Accepting new patients |
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": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1801272430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21150 INTERSTATE 35",
"address_2": "STE.G.",
"city": "KYLE",
"state": "TX",
"postal_code": "78640",
"telephone_number": "512-256-3500",
"fax_number": "512-256-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 INTERSTATE 35",
"address_2": "STE.G.",
"city": "KYLE",
"state": "TX",
"postal_code": "78640",
"telephone_number": "512-256-3500",
"fax_number": "512-256-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRGIS",
"first_name": "SAMEH",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-05",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-024601",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.