Ahmed Taha

Primary specialty

DentistTaxonomy code 122300000X

License

DN21380 Issued in FL

Practice address

6050 Babcock St SE Ste 2
Palm Bay, FL 32909-4203

Phone

(321) 725-9946

NPI assigned

Jun 29, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Assaf, Inc

  • Dentist
  • Palm Bay, FL
  • NPI 1770827834
  NPD
• Ray L Pollack & Associates DDS PA

  • Pediatric Dentistry
  • Melbourne, FL
  • NPI 1265573638
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1225411069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 DEERCROFT DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406349",
            "telephone_number": "321-355-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 BABCOCK ST SE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094203",
            "telephone_number": "321-725-9946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Pine St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013189",
            "country_code": "US",
            "telephone_number": "321-724-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHA",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111814100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilnive Sylvain
• Richard A Szelag, PT
• T & V Assisted Living Facility
• T Mag Elder Care LLC
• Courtney Taft, PTA
• Peter William Taraschi, DO
• Valerie Taylor-Reffner, L.M.H.C.
• Angela Marie Taylor
• Christy Taylor, LCSW
• Darla Michelle Taylor, APRN

• Dentist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.