Individual provider Active NPI

Michelle Adel Naguib

  • General Practice Dentistry
  • Tamarac, FL
National Provider Identifier
1215170980
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 18330 Issued in FL
Practice address
7797 N University Dr
#201
Tamarac, FL 33321-6110
Phone
(954) 722-9339
Fax
(954) 722-7399
NPI assigned
Apr 10, 2009
Last updated
Apr 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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 DN 18330 FL Primary

Addresses

Primary practice location

7797 N University Dr
#201
Tamarac, FL 33321-6110

Mailing address

2766 Carambola Cir S
#A104
Coconut Creek, FL 33066-2300
Phone (954) 968-6518

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160219001406 FL Order and Referring Only - DentistPractitioner - Dentist 9032414685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 18330FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dina Harris-Rodriguez, D.M.D., P.a. General Practice Past Accepting new patients
Smiles by Dr. Albert & Associates PastSince Apr 23, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1215170980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 CARAMBOLA CIR S",
            "address_2": "#A104",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662300",
            "telephone_number": "954-968-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7797 N UNIVERSITY DR",
            "address_2": "#201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333216110",
            "telephone_number": "954-722-9339",
            "fax_number": "954-722-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGUIB",
        "first_name": "MICHELLE",
        "middle_name": "ADEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.