Sandra Nagy Ghattas, DMD, MS, MBS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN26316 Issued in FL

Practice address

6169 S Jog Rd Unit A8-A9
Lake Worth, FL 33467-6579

Phone

(954) 900-8632

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1316604747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SE 1ST ST APT 803",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD UNIT A8-A9",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676579",
            "telephone_number": "954-900-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATTAS",
        "first_name": "SANDRA",
        "middle_name": "NAGY",
        "name_prefix": "Dr.",
        "credential": "DMD, MS, MBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN26316",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "26316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl-Henry Gerdes, PT
• Nina Frank Gerson, M.S., R.D., L.D./N
• Megan Kate Gestewitz, MA, CCC-SLP
• Get There Safe, LLC
• Mahmood Gharanfol, PTA
• Dara Gill, DPT
• Megan Gillen
• Jeffrey Alan Ginsberg, DDS
• Kenneth S Ginsburg, PHARMD
• Shayna M Ginsburg, PSYD

• Endodontics in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.