Active NPI
Senan Khalil Ziadeh, BDS;DDS;MSCD;DSCD;
- Orthodontics and Dentofacial Orthopedics Dentistry
- McAllen, TX
National Provider Identifier
1871829234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 34605
- Practice address
- 4131 N 10TH St
McAllen, TX 78504-3004 - Phone
- (617) 840-5962
- NPI assigned
- Oct 20, 2009
- Last updated
- May 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE60247129 | WA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6922 | LA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401413383 | VA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 49715 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 34605 | TX | Primary |
Addresses
Primary practice location
4131 N 10TH St
McAllen, TX 78504-3004
Mailing address
4131 N 10TH St
McAllen, TX 78504-3004
Phone (617) 840-5962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170522002408 | CA | Order and Referring Only - Oral Surgery | 3072880038 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6922 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 0401413383 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DE60247129 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 49715 | CA | MD | Pharmacist |
| 34605 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1871829234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 N 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043004",
"telephone_number": "617-840-5962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 N 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043004",
"telephone_number": "617-840-5962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIADEH",
"first_name": "SENAN",
"middle_name": "KHALIL",
"name_prefix": "Dr.",
"credential": "BDS;DDS;MSCD;DSCD;",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE60247129",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "6922",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401413383",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "49715",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "34605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.