Active NPI
Sara Safeyeldin Elhusseini Mohamed Ahmed, BDS,MS
- Periodontics
- Cedar Park, TX
National Provider Identifier
1841833696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 35782
- Practice address
- 2301 Bagdad Rd Ste 201
Cedar Park, TX 78613-6501 - Phone
- (512) 337-2578
- NPI assigned
- Oct 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 35782 | TX | Primary |
Addresses
Primary practice location
2301 Bagdad Rd Ste 201
Cedar Park, TX 78613-6501
Mailing address
11721 Domain Blvd Apt 3549
Austin, TX 78758-0057
Phone (954) 451-6571
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35782 | TX | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leander Periodontica PA | Periodontics | 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.
-
- Periodontics
- Cedar Park, TX
- NPI 1982155297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1841833696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11721 DOMAIN BLVD APT 3549",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787580057",
"telephone_number": "954-451-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 BAGDAD RD STE 201",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786136501",
"telephone_number": "512-337-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELHUSSEINI MOHAMED AHMED",
"first_name": "SARA",
"middle_name": "SAFEYELDIN",
"name_prefix": "Dr.",
"credential": "BDS,MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "35782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.