Maria Jose Abboud, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN20622 Issued in FL

Practice address

908 NW 57TH St
Gainesville, FL 32605-6458

Phone

(352) 745-3927

NPI assigned

Jun 3, 2014

Last updated

Jun 28, 2016By the provider in NPPES

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

Other names 1

• Maria Jose El Khoury Former name

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

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1245643741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NW 57TH STREET",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-745-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056458",
            "telephone_number": "352-745-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUD",
        "first_name": "MARIA JOSE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA JOSE",
            "last_name": "EL KHOURY",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zunnaira Abbasi
• Kaitria Brielle Abbatematteo, D.M.D.
• Patricia L Abbitt, MD
• Kenneth Abbott
• Tony Lee Abbott
• Abc Wellness, LLC
• Sherine Abdalla
• Naglaa Zidan Elsayed Abdel-Al, M.D.
• Dahlia A Abdelaal
• Abdalla Eltayeb Abdalla Abdelkader, MD

• Dentist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.