Individual provider Active NPI

Hussein Salifu, D.D.S

  • Dentist
  • Daytona Beach, FL
National Provider Identifier
1013384692
Registry record updated Aug 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 21576 Issued in FL
Practice address
148 Tarracina Way
Daytona Beach, FL 32117-5505
Phone
(404) 993-9953
NPI assigned
Aug 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21576 FL Primary

Addresses

Primary practice location

148 Tarracina Way
Daytona Beach, FL 32117-5505

Mailing address

148 Tarracina Way
Daytona Beach, FL 32117-5505
Phone (404) 993-9953

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
I20160504001631 FL Order and Referring Only - DentistPractitioner - Dentist 1557660008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21576FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Dental Affiliates PA Current Accepting new patients

Locations

2415 SW 27th Ave
Ocala, FL 34471
Phone (352) 237-6196

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440892800000",
    "number": "1013384692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TARRACINA WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175505",
            "telephone_number": "404-993-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 TARRACINA WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175505",
            "telephone_number": "404-993-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIFU",
        "first_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-30",
        "last_updated": "2015-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.