Active NPI
Shahenaz Suliman, DMD
- Dentist
- Hudson, FL
National Provider Identifier
1144508441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14950
- Practice address
- 11707 Lakewood Dr
Hudson, FL 34669-2906 - Phone
- (727) 379-9250
- Fax
- (727) 856-9250
- NPI assigned
- Aug 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60604 | CA | |
| Dentist | 122300000X | DN14950 | FL | Primary |
Addresses
Primary practice location
11707 Lakewood Dr
Hudson, FL 34669-2906
Mailing address
207 8TH St E
St Petersburg, FL 33715-2248
Phone (727) 379-9250
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14950 | FL | MD | Dentist |
| 60604 | CA | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1144508441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 8TH ST E",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337152248",
"telephone_number": "727-379-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11707 LAKEWOOD DR",
"city": "HUDSON",
"state": "FL",
"postal_code": "346692906",
"telephone_number": "727-379-9250",
"fax_number": "727-856-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULIMAN",
"first_name": "SHAHENAZ",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "60604",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN14950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.