Hamza Usman Mir, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

19593 Issued in FL

Practice address

12301 Lake Underhill Rd Ste 104
Orlando, FL 32828-4509

Phone

(407) 581-9515

NPI assigned

Dec 23, 2011

Last updated

Sep 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mid-Florida Endodontics - Winter Garden, PLLC

  • Endodontics
  • Winter Garden, FL
  • NPI 1922608736
  NPD
• Orlando Endodontic Specialists South

  • Endodontics
  • Orlando, FL
  • NPI 1659638484
  NPD (past)
• Volusia Endodontics-Maitland

  • Endodontics
  • Maitland, FL
  • NPI 1154899763
  NPD (past)

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1194094938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E CHURCH ST UNIT 650",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012790",
            "telephone_number": "407-492-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284509",
            "telephone_number": "407-581-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 N Orlando Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514465",
            "country_code": "US",
            "telephone_number": "407-735-9675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1956 E Osceola Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347438626",
            "country_code": "US",
            "telephone_number": "407-581-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIR",
        "first_name": "HAMZA",
        "middle_name": "USMAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "19593",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021517",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "19593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004423000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minier Waterford Lakes LLC
• Avery Minor
• Marjorie Alsina Minott
• Simone Andrea Minto-Pennant, PHARMACIST
• Craig M. Mintzer, M.D.
• Tanveer P Mir, MD
• Marcos Michel Mirabal Garcia
• Yoan Manuel Mirabal Hernandez
• Jennifer Mirabal, M.S. ED.
• Shelby P Mirabelli

• Endodontics in Orlando, FL
• Providers in Orlando, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.