Active NPI
Syed Z Quadri, D.M.D.
- Dentist
- Palm Bay, FL
National Provider Identifier
1063487155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16822
- Practice address
- 2090 Palm Bay Rd NE
Palm Bay, FL 32905-2913 - Phone
- (321) 984-2255
- Fax
- (321) 733-4441
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16822 | FL | Primary |
Addresses
Primary practice location
2090 Palm Bay Rd NE
Palm Bay, FL 32905-2913
Mailing address
2090 Palm Bay Rd NE
Palm Bay, FL 32905-2913
Phone (321) 984-2255
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16822 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1063487155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 PALM BAY RD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052913",
"telephone_number": "321-984-2255",
"fax_number": "321-733-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 PALM BAY RD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052913",
"telephone_number": "321-984-2255",
"fax_number": "321-733-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUADRI",
"first_name": "SYED",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "16822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.