Individual provider Active NPI

Saman Sohail, DMD

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1063196640
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27894 Issued in FL
Practice address
7430 Immokalee Rd Ste 102
Naples, FL 34119-1483
Phone
(239) 316-3763
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN27894 FL Primary

Addresses

Primary practice location

7430 Immokalee Rd Ste 102
Naples, FL 34119-1483

Mailing address

7430 Immokalee Rd Ste 102
Naples, FL 34119-1483

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230930000142 FL Order and Referring Only - DentistPractitioner - Dentist 7911351580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN27894FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Modern Dentistry, PA PastSince Jun 18, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1063196640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 IMMOKALEE RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 IMMOKALEE RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191483",
            "telephone_number": "239-316-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHAIL",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.