NPIMap

Organization Active NPI

Winter Haven Endodontics PLLC

  • Endodontics
  • Winter Haven, FL
National Provider Identifier
1194079160
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN16935 Issued in FL
Legal business name
WINTER HAVEN ENDODONTICS PLLC
Practice address
1008 5TH St SE
Winter Haven, FL 33880-4210
Phone
(863) 294-1994
Fax
(863) 294-6470
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Dr. Haider Alzubaidi, DDS, MS
Title
Endodontist
Phone
(863) 687-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN16935 FL Primary

Addresses

Primary practice location

1008 5TH St SE
Winter Haven, FL 33880-4210

Mailing address

3003 S Florida Ave Ste 101
Lakeland, FL 33803-4050
Phone (863) 687-8990

National Provider Directory

National Provider Directory

Locations

1008 5th St SE
Winter Haven, FL 33880
Phone (863) 294-1994

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1194079160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 S FLORIDA AVE STE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034050",
            "telephone_number": "863-687-8990",
            "fax_number": "863-682-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 5TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804210",
            "telephone_number": "863-294-1994",
            "fax_number": "863-294-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER HAVEN ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "ALZUBAIDI",
        "authorized_official_first_name": "HAIDER",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "863-687-8990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.