Sanaz Nasseri, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 20809 Issued in FL

Practice address

3727 N Goldenrod Rd Ste 108
Winter Park, FL 32792-8611

Phone

(407) 671-0001

NPI assigned

Jul 21, 2014

Last updated

Aug 21, 2014By 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

• Sanaz Nasseri Ghias Abad Other 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

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1295142370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8977 NW 6TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241182",
            "telephone_number": "321-279-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 N GOLDENROD RD STE 108",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928611",
            "telephone_number": "407-671-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSERI",
        "first_name": "SANAZ",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANAZ",
            "last_name": "NASSERI GHIAS ABAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Winter Park, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.