Active NPI
Shwan Shawkat
- Dentist
- Hialeah, FL
National Provider Identifier
1275061798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1664
- Practice address
- 750 E 25TH St
Hialeah, FL 33013-3817 - Phone
- (305) 694-5400
- NPI assigned
- May 29, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1664 | FL | Primary |
Addresses
Primary practice location
750 E 25TH St
Hialeah, FL 33013-3817
Mailing address
2751 SW 116TH Ave Apt 305
Miramar, FL 33025-7569
Phone (720) 285-8396
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1664 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Associates, Inc | 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.
-
- General Practice Dentistry
- Hialeah, FL
- NPI 1770537953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496016000000",
"number": "1275061798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 SW 116TH AVE APT 305",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257569",
"telephone_number": "720-285-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E 25TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133817",
"telephone_number": "305-694-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAWKAT",
"first_name": "SHWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-29",
"last_updated": "2017-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "1664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.