Haysam Dawod Dawod, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16560 Issued in TX

Practice address

4514 S Staples St
Corpus Christi, TX 78411-2604

Phone

(361) 992-8531

Fax

(361) 992-8705

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972717445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112604",
            "telephone_number": "361-992-8531",
            "fax_number": "361-992-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112604",
            "telephone_number": "361-992-8531",
            "fax_number": "361-992-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWOD",
        "first_name": "HAYSAM",
        "middle_name": "DAWOD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "781924",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Davis, FNP-BC
• Victoria Davis, MA , MS, LPC, LBSW
• Angelique Davisson, M.S.,CCC/SLP
• Surendra Parmanand Dawani, MD
• David Haitham Dawod, DDS
• John Joseph Daws, MOT,OT/L, NEURO-IFRA
• Day Primary Care PLLC
• Aijeanae Day
• James E Day
• Richard Day, DMD

• General Practice Dentistry in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.