Individual provider Active NPI

Nabil S Hanna, DDS

  • Dentist
  • Sanford, FL
National Provider Identifier
1215235924
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN8976 Issued in FL
Practice address
400 W Airport Blvd
Sanford, FL 32773-5489
Phone
(407) 665-3200
Fax
(407) 665-3213
NPI assigned
Mar 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN8976 FL Primary

Addresses

Primary practice location

400 W Airport Blvd
Sanford, FL 32773-5489

Mailing address

400 W Airport Blvd
Sanford, FL 32773-5489
Phone (407) 665-3345

Other identifiers 1

IdentifierTypeStateIssuer
077170800MedicaidFL

Other names 1

  • Mr. Nabil H Saad Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN8976FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1215235924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735489",
            "telephone_number": "407-665-3345",
            "fax_number": "407-665-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735489",
            "telephone_number": "407-665-3200",
            "fax_number": "407-665-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "NABIL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077170800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NABIL",
            "last_name": "SAAD",
            "middle_name": "H",
            "prefix": "MR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.