Active NPI
Amir Naffi, DMD,MS
- Dentist
- Bradenton, FL
National Provider Identifier
1033670757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24074
- Practice address
- 6302 Manatee Ave W Ste a
Bradenton, FL 34209-2355 - Phone
- (941) 792-2965
- NPI assigned
- Mar 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10254 | KY | |
| Dentist | 122300000X | DN24074 | FL | Primary |
Addresses
Primary practice location
6302 Manatee Ave W Ste a
Bradenton, FL 34209-2355
Mailing address
1501 Alhambra Crest Dr
Ruskin, FL 33570-7915
Phone (862) 699-8577
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24074 | FL | MD | Dentist |
| 10254 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1033670757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 ALHAMBRA CREST DR",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335707915",
"telephone_number": "862-699-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 MANATEE AVE W STE A",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342092355",
"telephone_number": "941-792-2965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAFFI",
"first_name": "AMIR",
"credential": "DMD,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10254",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.