Active NPI
Haider Alramli
- Periodontics
- Lakeland, FL
National Provider Identifier
1063869709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 123227
- Practice address
- 3700 US Highway 98 N Unit 105
Lakeland, FL 33809-3863 - Phone
- (619) 729-9579
- NPI assigned
- May 23, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100190 | CA | |
| Periodontics | 1223P0300X | 24533 | FL | |
| Periodontics | 1223P0300X | 123227 | GA | Primary |
Addresses
Primary practice location
3700 US Highway 98 N Unit 105
Lakeland, FL 33809-3863
Mailing address
3700 US Highway 98 N Unit 105
Lakeland, FL 33809-3863
Phone (619) 729-9579
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 |
|---|---|---|---|
| 100190 | CA | MD | Dentist |
| 24533 | FL | MD | Periodontist |
| 123227 | GA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1063869709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 US HIGHWAY 98 N UNIT 105",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338093863",
"telephone_number": "619-729-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 US HIGHWAY 98 N UNIT 105",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338093863",
"telephone_number": "619-729-9579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALRAMLI",
"first_name": "HAIDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-23",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100190",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "24533",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "GA",
"license": "123227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.