Active NPI
Mina Zakhary, DDS
- General Practice Dentistry
- Cocoa, FL
National Provider Identifier
1164267944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29196
- Practice address
- 645 Brevard Ave
Cocoa, FL 32922-7807 - Phone
- (321) 635-8533
- NPI assigned
- Jun 25, 2024
- Last updated
- Apr 16, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29196 | FL | Primary |
Addresses
Primary practice location
645 Brevard Ave
Cocoa, FL 32922-7807
Mailing address
4639 Chastain Dr
Melbourne, FL 32940-1273
Phone (321) 507-6256
Other practice location 1
300 Gatlin Ave Ste 1-B
Orlando, FL 32806-6951
Phone (407) 851-7741
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 |
|---|---|---|---|
| 29196 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Implants Center PA | General Practice | Current | Accepting new patients |
| Prestige Dental, Inc. | Past | Accepting new patients |
Locations
300 Gatlin Ave
Ste 1B
Orlando, FL 32806
Phone (407) 851-7741
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Cocoa, FL
- NPI 1295653723
-
- General Practice Dentistry
- Orlando, FL
- NPI 1306464805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1164267944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4639 CHASTAIN DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401273",
"telephone_number": "321-507-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 BREVARD AVE",
"city": "COCOA",
"state": "FL",
"postal_code": "329227807",
"telephone_number": "321-635-8533"
}
],
"practiceLocations": [
{
"address_1": "300 Gatlin Ave Ste 1-B",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328066951",
"country_code": "US",
"telephone_number": "407-851-7741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAKHARY",
"first_name": "MINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-25",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "29196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.