Individual provider Active NPI

Sarah Al Moussally, DMD

  • Dentist
  • Wildwood, FL
National Provider Identifier
1033733324
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24926 Issued in FL
Practice address
5837 Seven Mile Dr
Wildwood, FL 34785-8852
Phone
(352) 571-1978
NPI assigned
Jun 2, 2020
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24926 FL
Dentist 122300000X DN24926 FL Primary

Addresses

Primary practice location

5837 Seven Mile Dr
Wildwood, FL 34785-8852

Mailing address

5837 Seven Mile Dr
Wildwood, FL 34785-8852
Phone (352) 571-1978

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
24926FLMDDentist
DN24926FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. CurrentSince Aug 23, 2020 Accepting new patients

Locations

5837 Seven Mile Dr
Wildwood, FL 34785
Phone (352) 571-1978

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1033733324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5837 SEVEN MILE DR",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858852",
            "telephone_number": "352-571-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5837 SEVEN MILE DR",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858852",
            "telephone_number": "352-571-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL MOUSSALLY",
        "first_name": "SARAH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "24926",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.