Individual provider Active NPI

Alaa Fawzy

  • Dentist
  • Wesley Chapel, FL
National Provider Identifier
1831823772
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29851 Issued in FL
Practice address
5236 Legendary Loop Apt 212
Wesley Chapel, FL 33544-8659
Phone
(614) 369-7700
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38673 TX
Dentist 122300000X DN29851 FL Primary
Clinical Social Worker 1041C0700X 38673 TX

Addresses

Primary practice location

5236 Legendary Loop Apt 212
Wesley Chapel, FL 33544-8659

Mailing address

5236 Legendary Loop Apt 212
Wesley Chapel, FL 33544-8659
Phone (614) 369-7700

Other practice location 1

1703 Evans Rd Apt 5209
San Antonio, TX 78258-7043
Phone (614) 369-7700

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

LicenseStateTypeSpecialty
DN29851FLMDDentist
38673TXMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1831823772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 LEGENDARY LOOP APT 212",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448659",
            "telephone_number": "614-369-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 LEGENDARY LOOP APT 212",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448659",
            "telephone_number": "614-369-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Evans Rd Apt 5209",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782587043",
            "country_code": "US",
            "telephone_number": "614-369-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAWZY",
        "first_name": "ALAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38673",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29851",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.