Organization Active NPI

Nadim Haidar DDS LLC

  • Durable Medical Equipment & Medical Supplies
  • Clermont, FL
National Provider Identifier
1043838113
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NADIM HAIDAR DDS LLC
Practice address
194 N Highway 27 Ste F
Clermont, FL 34711-2448
Phone
(352) 243-0018
Fax
(352) 243-6700
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Dr. MHD Nadim Haidar, DDSNPI 1811440076
Title
Owner Dentist
Phone
(352) 243-0018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

194 N Highway 27 Ste F
Clermont, FL 34711-2448

Mailing address

194 N Highway 27 Ste F
Clermont, FL 34711-2448
Phone (352) 243-0018

Other names 1

  • Lasting Smiles Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1043838113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 N HIGHWAY 27 STE F",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112448",
            "telephone_number": "352-243-0018",
            "fax_number": "352-243-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 N HIGHWAY 27 STE F",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112448",
            "telephone_number": "352-243-0018",
            "fax_number": "352-243-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIM HAIDAR DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "MHD NADIM",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "352-243-0018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lasting Smiles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.