Individual provider Active NPI

Abul Khayer Islam, BDS

  • Dentist
  • Orlando, FL
National Provider Identifier
1225048796
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11823 Issued in FL
Practice address
1925 E Michigan Street
Suite101
Orlando, FL 32806-4978
Phone
(407) 896-6336
Fax
(407) 894-9772
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11823 FL Primary

Addresses

Primary practice location

1925 E Michigan Street
Suite101
Orlando, FL 32806-4978

Mailing address

1925 E Michigan Street
Suite101
Orlando, FL 32806-4978
Phone (407) 896-6336

Other identifiers 1

IdentifierTypeStateIssuer
073903100MedicaidFL

Other names 1

  • Dr. A K Islam Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11823FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
A.K.M.W.Islam,BDS,P.a. Dentist Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1225048796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E MICHIGAN STREET",
            "address_2": "SUITE101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064978",
            "telephone_number": "407-896-6336",
            "fax_number": "407-894-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E MICHIGAN STREET",
            "address_2": "SUITE101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064978",
            "telephone_number": "407-896-6336",
            "fax_number": "407-894-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "ABUL",
        "middle_name": "KHAYER",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073903100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "ISLAM",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "BDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.