Active NPI
Hamza Kattih, DMD
- General Practice Dentistry
- Plant City, FL
National Provider Identifier
1255077467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN26799
- Practice address
- 111 W Alexander St
Plant City, FL 33563-7155 - Phone
- (813) 708-6732
- Fax
- (813) 708-6726
- NPI assigned
- May 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN26799 | FL | Primary |
Addresses
Primary practice location
111 W Alexander St
Plant City, FL 33563-7155
Mailing address
17353 Emerald Chase Dr
Tampa, FL 33647-3516
Phone (615) 738-0261
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607002708 | FL | Order and Referring Only - Dentist | 5496133290 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN26799 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1255077467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17353 EMERALD CHASE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473516",
"telephone_number": "615-738-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335637155",
"telephone_number": "813-708-6732",
"fax_number": "813-708-6726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATTIH",
"first_name": "HAMZA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-10",
"last_updated": "2022-05-10",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN26799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.