Individual provider Active NPI

Sarah Shuayb, D.M.D

  • General Practice Dentistry
  • Spring Hill, FL
National Provider Identifier
1003325820
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22712 Issued in FL
Practice address
229 Mariner Blvd
Spring Hill, FL 34609-5692
Phone
(352) 666-5133
Fax
(352) 684-5962
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22712 FL Primary

Addresses

Primary practice location

229 Mariner Blvd
Spring Hill, FL 34609-5692

Mailing address

229 Mariner Blvd
Spring Hill, FL 34609-5692
Phone (352) 666-5133

Other practice location 1

7903 W Gulf To Lake Hwy
Crystal River, FL 34429-7931
Phone (352) 794-6354

Other practice location 2

14945 Bruce B Downs Blvd
Tampa, FL 33613-2860
Phone (813) 632-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180505000016 FL Order and Referring Only - DentistPractitioner - Dentist 6507120235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22712FLMDGeneral Practice Dentistry

Networks

  • FL HMO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO D-SNP
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003325820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095692",
            "telephone_number": "352-666-5133",
            "fax_number": "352-684-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095692",
            "telephone_number": "352-666-5133",
            "fax_number": "352-684-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7903 W Gulf To Lake Hwy",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344297931",
            "country_code": "US",
            "telephone_number": "352-794-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14945 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336132860",
            "country_code": "US",
            "telephone_number": "813-632-9200",
            "fax_number": "352-684-5962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUAYB",
        "first_name": "SARAH",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.