Active NPI
David Hazan, DMD, B.ENG
- Dentist
- Altamonte Springs, FL
National Provider Identifier
1104075944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14745
- Practice address
- 385 Douglas Ave
Suite 2450
Altamonte Springs, FL 32714-3325 - Phone
- (407) 677-5400
- Fax
- (407) 677-5402
- NPI assigned
- Sep 17, 2008
- 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 | DN14745 | FL | Primary |
Addresses
Primary practice location
385 Douglas Ave
Suite 2450
Altamonte Springs, FL 32714-3325
Mailing address
385 Douglas Ave
Suite 2450
Altamonte Springs, FL 32714-3325
Phone (407) 677-5400
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 |
|---|---|---|---|
| DN14745 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1104075944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 DOUGLAS AVE",
"address_2": "SUITE 2450",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143325",
"telephone_number": "407-677-5400",
"fax_number": "407-677-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 DOUGLAS AVE",
"address_2": "SUITE 2450",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143325",
"telephone_number": "407-677-5400",
"fax_number": "407-677-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD, B.ENG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN14745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.