Bita Hassani Ghaly

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26113 Issued in FL

Practice address

1475 6TH St NW
Winter Haven, FL 33881-2365

Phone

(863) 226-0251

Fax

(862) 226-0238

NPI assigned

Jun 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1235709031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TECHNOLOGY PARK STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812365",
            "telephone_number": "863-226-0251",
            "fax_number": "862-226-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANI GHALY",
        "first_name": "BITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashia Hart
• Brian Gardiner Harte, MSN, FNP-BC, CCRN
• Kelsey Harvey, HIS
• Lynn Harwell, OTR
• Ashraf M Hassan
• Stephanie Padgett Hatten, APRN
• Kim Haufe, D.D.S
• Joseph William Hauter, D.O.
• Haven Enterprises, LLC
• Havendale Dental Off PA

• General Practice Dentistry in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.