Active NPI
Nedda Hifeda, DMD
- Endodontics
- Denton, TX
National Provider Identifier
1982006995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 33982
- Practice address
- 2200 W University Dr
Denton, TX 76201-0619 - Phone
- (206) 902-0406
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL12417 | MA | |
| Endodontics | 1223E0200X | 33982 | TX | Primary |
Addresses
Primary practice location
2200 W University Dr
Denton, TX 76201-0619
Mailing address
1608 Daisy LN
Flower Mound, TX 75028-5147
Phone (206) 903-0406
Other practice location 1
2616 Long Prairie Rd
Flower Mound, TX 75022-4839
Phone (206) 902-0406
Other practice location 2
112 Regent St
Boston, MA 02119-1905
Phone (206) 903-0406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20180420000520 | MA | Order and Referring Only - Other (Physician) | 8123381332 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33982 | TX | MD | Psychologist |
| DL12417 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1982006995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 DAISY LN",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750285147",
"telephone_number": "206-903-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W UNIVERSITY DR",
"city": "DENTON",
"state": "TX",
"postal_code": "762010619",
"telephone_number": "206-902-0406"
}
],
"practiceLocations": [
{
"address_1": "2616 Long Prairie Rd",
"address_purpose": "LOCATION",
"city": "Flower Mound",
"state": "TX",
"postal_code": "750224839",
"country_code": "US",
"telephone_number": "206-902-0406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 Regent St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021191905",
"country_code": "US",
"telephone_number": "206-903-0406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIFEDA",
"first_name": "NEDDA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL12417",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "33982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.