Active NPI
Alaa Fawzy
- Dentist
- Wesley Chapel, FL
National Provider Identifier
1831823772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29851
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN29851 | FL | MD | Dentist |
| 38673 | TX | MD | Dentist |
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.