Mohammed Faisal Naser, D.D.S, M.P.H.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24430 Issued in FL

Practice address

2851 Henley Rd Ste 304
Green Cove Springs, FL 32043-7207

Phone

(904) 267-7777

NPI assigned

Jul 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coast Dental P.a.

  • Dentist
  • Jacksonville, FL
  • NPI 1326614629
  NPD (past)
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1104479120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 HENLEY RD STE 304",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437207",
            "telephone_number": "312-509-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 HENLEY RD STE 304",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437207",
            "telephone_number": "904-267-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASER",
        "first_name": "MOHAMMED",
        "middle_name": "FAISAL",
        "credential": "D.D.S, M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONT HAVE",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Url",
            "affiliation": "N",
            "address_1": "2600 sw27th ave apt 701",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Angell McKee, MS
• Gina Michelle Mele, ARNP
• Whitney H Millson
• Maria Elana Mora, M.D.
• Shahriar A Nabizadeh, MD
• Scott Allen Nelson, PA
• Diem-Phuc Tran Nguyen, MD
• Truc Grace Phuong Nguyen, PHARMD.
• Rachel Nieves, RN, IBCLC
• Oak Street Opco LLC

• General Practice Dentistry in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.