Individual provider Active NPI

Mina Zakhary, DDS

  • General Practice Dentistry
  • Cocoa, FL
National Provider Identifier
1164267944
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29196 Issued in FL
Practice address
645 Brevard Ave
Cocoa, FL 32922-7807
Phone
(321) 635-8533
NPI assigned
Jun 25, 2024
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
29196FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Implants Center PA General Practice CurrentSince Jun 30, 2024 Accepting new patients
Prestige Dental, Inc. PastSince Jun 30, 2024 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.

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.

Verify at the official NPI Registry.