Shada Ghnaim, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN24230 Issued in FL

Practice address

7341 W Sand Lake Rd Ste 1065
Orlando, FL 32819-5311

Phone

(407) 781-0386

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Lakeland Modern Dentistry, PA

  • Dentist
  • Lakeland, FL
  • NPI 1235649518
  NPD (past)
• Sage Dental of Doctor Phillips PLLC

  • Dentist
  • Orlando, FL
  • NPI 1548614480
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1013579929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 BROOKHAVEN PL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038828",
            "telephone_number": "941-592-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 W SAND LAKE RD STE 1065",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195311",
            "telephone_number": "407-781-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHNAIM",
        "first_name": "SHADA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krina Ghayal, FNP
• Andrei Cristian Gheorghe
• Sanjay J Ghetiya, D.M.D
• Dyemara Ghigliotty
• GHL Medical PA
• Mohamed-Ashraf M Ghobashy, MD
• Salim A Ghorayeb, PA-C
• Ghost RX Inc
• Michelle Ghoussoub-Salgado
• Harbinder Singh Ghulldu, MD

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.