MOHAMMED MAHMOOD AL AZZAWI (NPI# 1578116968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578116968 |
| Entity Type | Individual |
| Full Name | MOHAMMED MAHMOOD AL AZZAWI |
| Credential | BDS, MS, MS, PHD |
| Practice Address |
4179 Dowlen Rd Beaumont TX 77706-6852 |
| Practice Telephone | 9165953187 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 0401416654 | VA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
35480 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DENTAL LICENCE | 35480 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246817 | Mohammed Al Azzawi | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2019-03-29 |
| Street Address |
4179 DOWLEN RD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-6852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477847770 | Ashley Danielle Demarco | Dentist | 4179 Dowlen Rd, Beaumont, TX 77706-6852 | 2011-06-03 |
| 1073076253 | Joshua C White | Dentist | 4179 Dowlen Rd, Beaumont, TX 77706-6852 | 2019-04-13 |
| 1952894479 | Christopher Ng | Dentist | 4179 Dowlen Rd, Beaumont, TX 77706-6852 | 2018-06-09 |
| 1497292312 | Brian Chinedu Anyanwu | Dentist | 4179 Dowlen Rd, Beaumont, TX 77706-6852 | 2017-01-30 |
| 1184027773 | Radhika Gowali | Dentist | 4179 Dowlen Rd, None, Beaumont, TX 77706-6852 | 2014-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366728040 | Beaumont Orthodontic Specialists | Dentist | 3954 Eastex Freeway, Beaumont, TX 77703 | 2011-10-26 |
| 1760772255 | Norman E. Carter Dds Ms Inc | Dentist | 851 E 6th St B3, Beaumont, CA 92223-2373 | 2011-04-18 |
| 1447569595 | Gabriela Elizabeth Garcia | Dentist | 11188 Runyan Rd, Beaumont, CA 92223-6209 | 2010-10-06 |
| 1811139439 | David Dean Reynard | Dentist | 3333 North Street, Suite C, Beaumont, TX 77706-5032 | 2009-03-27 |
| 1710171772 | Norman Eric Carter | Dentist | 851 E 6th St Ste B3, Beaumont, CA 92223-2371 | 2007-09-04 |
| 1376760819 | Ronald Keith Risinger | Dentist | 3190 North St, Beaumont, TX 77702-1420 | 2007-04-19 |
| 1942345582 | Ronald K. Risinger, Dds, Ms, PC | Dentist | 3954 Eastex Fwy, Beaumont, TX 77703-1814 | 2007-02-21 |
| 1881752855 | Terry Syler | Dentist | 3350 Mcfaddin St, Beaumont, TX 77706-5033 | 2006-12-04 |
| 1487752887 | Rayfus Joseph Broussard | Dentist | 1120 Longfellow, Beaumont, TX 77706-4845 | 2006-09-20 |
| 1699014530 | Matthew Lindon Rushing | Dentist | 3954 Eastex Fwy, Beaumont, TX 77703-1814 | 2013-02-13 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.