Individual provider Active NPI

Nancy Fawzy William, D.D.S

  • Dentist
  • Lakewood, CA
National Provider Identifier
1962722116
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59507 Issued in CA
Practice address
5220 Clark Ave Ste 435
Lakewood, CA 90712-2629
Phone
(562) 630-5886
Fax
(562) 920-5887
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59507 CA Primary

Addresses

Primary practice location

5220 Clark Ave Ste 435
Lakewood, CA 90712-2629

Mailing address

5148 Verdura Ave
Lakewood, CA 90712-2226
Phone (562) 453-9919

Other names 1

  • Dr. Nancy Fawzy Girgis Former name

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

LicenseStateTypeSpecialty
59507CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1962722116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 VERDURA AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122226",
            "telephone_number": "562-453-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 CLARK AVE STE 435",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122629",
            "telephone_number": "562-630-5886",
            "fax_number": "562-920-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAM",
        "first_name": "NANCY",
        "middle_name": "FAWZY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "GIRGIS",
            "middle_name": "FAWZY",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.