Active NPI
Sandra S Wasif, DDS
- Public Health Dentistry
- Oviedo, FL
National Provider Identifier
1306811187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DN15762
- Practice address
- 100 Burnsed PL
Suite 1000
Oviedo, FL 32765-6695 - Phone
- (407) 366-9090
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DN15762 | FL | Primary |
| Dentist | 122300000X | DN15762 | FL |
Addresses
Primary practice location
100 Burnsed PL
Suite 1000
Oviedo, FL 32765-6695
Mailing address
100 Burnsed PL
Suite 1000
Oviedo, FL 32765-6695
Phone (407) 366-9090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075214200 | Medicaid | FL | |
| 001347951 | Other | FL | NPI |
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 |
|---|---|---|---|
| DN15762 | FL | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401062400000",
"number": "1306811187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BURNSED PL",
"address_2": "SUITE 1000",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656695",
"telephone_number": "407-366-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BURNSED PL",
"address_2": "SUITE 1000",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656695",
"telephone_number": "407-366-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASIF",
"first_name": "SANDRA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2014-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "FL",
"license": "DN15762",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN15762",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075214200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "001347951",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.