Individual provider Active NPI

Nada Elsharabassy, DMD

  • Dentist
  • Aventura, FL
National Provider Identifier
1023746112
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27261 Issued in FL
Practice address
2925 NE 199TH St Ste 309
Aventura, FL 33180-3109
Phone
(305) 935-4800
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27261 FL Primary

Addresses

Primary practice location

2925 NE 199TH St Ste 309
Aventura, FL 33180-3109

Mailing address

4951 W Sample Rd Apt 201
Coconut Creek, FL 33073-3757
Phone (954) 999-9665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN27261FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Olimen Dental LLC CurrentSince Aug 14, 2022 Accepting new patients
Silvia Stambler DDS PA Dentist PastSince Aug 14, 2022 Accepting new patients

Locations

2925 NE 199th St
Ste 309
Aventura, FL 33180
Phone (305) 935-4800

Organizations & group practices 2

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1023746112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 W SAMPLE RD APT 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733757",
            "telephone_number": "954-999-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 NE 199TH ST STE 309",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803109",
            "telephone_number": "305-935-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHARABASSY",
        "first_name": "NADA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.