Moustafa Tarek Badawi, DDS
Individual provider Active NPI General Practice Dentistry · Alvin, TX
NPI 1841852902 · NPPES record last updated Oct 26, 2021
Key facts
- NPI
- 1841852902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 35255 (TX)
- Practice address
- 1111 W Adoue St
Alvin, TX 77511-2718 - Phone
- (281) 824-1490
- Fax
- (281) 220-6407
- NPI assigned
- Jun 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101001988 | TX | Practitioner - Dentist | 1456749027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen F Austin Community Health Center,Inc | Current |
Accepting new patients | |
| Stephen F. Austin Community Health Center, Inc. | Current |
Accepting new patients | |
| Stephen F Austin Community Health Center, Inc | Past |
Accepting new patients |
Locations
1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594
2020 E Mulberry St
Angleton, TX 77515
Phone (409) 849-2777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 35255 | TX | |
| General Practice Dentistry | 1223G0001X | 35255 | TX | Yes |
Addresses
Primary practice location
1111 W Adoue St
Alvin, TX 77511-2718
Mailing address
2602 Gable Hollow LN
Katy, TX 77450-6800
Phone (281) 701-9378
Other practice location 1
5110 Avenue H
Rosenberg, TX 77471-2014
Phone (832) 416-1743
Other providers in Alvin, TX
- Tracey A Antill
- Apexcore Clinical Labs LLC
- Olga Alicia Arias
- Erin Arvie
- Angela Renee Attaway
- Daniel Badillo
- Michael G Banyai
- Dedra Mechelle Barajas
- Ashley Nichole Barrera
- Patricia Ann Batiste
All providers in Alvin, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.