Organization Active NPI

West Shore Endodontics, PLLC

  • Endodontics
  • Brooksville, FL
National Provider Identifier
1104579937
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WEST SHORE ENDODONTICS, PLLC
Practice address
12228 Cortez Blvd
Brooksville, FL 34613-2631
Phone
(352) 606-2550
Fax
(352) 606-2549
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Dr. Hanny Hamoui, D.M.D.NPI 1326471988
Title
Controlling Manager
Phone
(352) 606-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

12228 Cortez Blvd
Brooksville, FL 34613-2631

Mailing address

12228 Cortez Blvd
Brooksville, FL 34613-2631
Phone (352) 606-2550

Other practice location 1

3109 W Swann Ave Ste B
Tampa, FL 33609-4701
Phone (813) 683-5050

National Provider Directory

National Provider Directory

Locations

12228 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-0710

3109 W Swann Ave
Ste B
Tampa, FL 33609
Phone (813) 683-5050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1104579937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12228 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132631",
            "telephone_number": "352-606-2550",
            "fax_number": "352-606-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12228 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132631",
            "telephone_number": "352-606-2550",
            "fax_number": "352-606-2549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 W Swann Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094701",
            "country_code": "US",
            "telephone_number": "813-683-5050",
            "fax_number": "813-683-5049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST SHORE ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "HAMOUI",
        "authorized_official_first_name": "HANNY",
        "authorized_official_title_or_position": "CONTROLLING MANAGER",
        "authorized_official_telephone_number": "352-606-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.