Raed Shafia Al Kasem, DDS MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN12183 Issued in FL

Practice address

3165 McMullen Booth Rd
BLDG a Suite #2
Clearwater, FL 33761-2032

Phone

(727) 796-2183

Fax

(727) 726-8827

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Credentials

Master of Science

Practice roles

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.

• Endodontic Associates of Tampa PA

  • Endodontics
  • Tampa, FL
  • NPI 1053711036
  NPD (past) Authorized official
• Endodontic Associates

  • Endodontics
  • Clearwater, FL
  • NPI 1437294741
  NPD (past)
• Endodontic Associates of Trinity P.a.

  • Endodontics
  • Trinity, FL
  • NPI 1992978761
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306996384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 MCMULLEN BOOTH RD",
            "address_2": "BLDG A SUITE #2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-796-2183",
            "fax_number": "727-726-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 MCMULLEN BOOTH RD",
            "address_2": "BLDG A SUITE #2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-796-2183",
            "fax_number": "727-726-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL KASEM",
        "first_name": "RAED",
        "middle_name": "SHAFIA",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN12183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Elyse Akhavan
• Daniel L Akins, M.D.
• Michael B Akkashian, M.D.
• Akm Care Services, Inc.
• Ziad Al Adham, DDS
• Aref Al Naib, DMD
• Jeila Alai
• Marco A Alberts, DMD, MPH
• Albertsons LLC
• Albertsons LLC

• Endodontics in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.