Organization Active NPI

Easy Breezy Dental PLLC

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1841990488
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EASY BREEZY DENTAL PLLC
Practice address
11101 Leopard St Ste 1And2
Corpus Christi, TX 78410-2634
Phone
(617) 586-9257
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Hajra Mujtaba, DMDNPI 1720554843
Title
Dentist
Phone
(617) 870-1406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

11101 Leopard St Ste 1And2
Corpus Christi, TX 78410-2634

Mailing address

11101 Leopard St Ste 1And2
Corpus Christi, TX 78410-2634
Phone (617) 586-9257

National Provider Directory

National Provider Directory

Locations

11101 Leopard St
Ste 1
Corpus Christi, TX 78410
Phone (617) 586-9257

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1841990488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 LEOPARD ST STE 1AND2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784102634",
            "telephone_number": "617-586-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 LEOPARD ST STE 1AND2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784102634",
            "telephone_number": "617-586-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY BREEZY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "MUJTABA",
        "authorized_official_first_name": "HAJRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-870-1406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.