Individual provider Active NPI

Manal F Messiha, DDS

  • Public Health Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1063536340
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DN12532 Issued in FL
Practice address
780 SW 24TH St
Fort Lauderdale, FL 33315-2643
Phone
(954) 467-4842
Fax
(954) 762-3644
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X DN12532 FL Primary

Addresses

Primary practice location

780 SW 24TH St
Fort Lauderdale, FL 33315-2643

Mailing address

780 SW 24TH St
Fort Lauderdale, FL 33315-2643
Phone (954) 467-4842

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
DN12532FLMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063536340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SW 24TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152643",
            "telephone_number": "954-467-4842",
            "fax_number": "954-762-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SW 24TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152643",
            "telephone_number": "954-467-4842",
            "fax_number": "954-762-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSIHA",
        "first_name": "MANAL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN12532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.