Amr Hesham Ahmed Radwan

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

21608 Issued in FL

Practice address

6115 Stirling Rd
Suite# 213
Davie, FL 33314-7241

Phone

(954) 791-3277

NPI assigned

May 29, 2013

Sex

Male

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Radwan Endodontic PLLC

  • Endodontics
  • Davie, FL
  • NPI 1649004110
  NPD Authorized official

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1346687563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 STIRLING RD",
            "address_2": "SUITE# 213",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147241",
            "telephone_number": "954-791-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 STIRLING RD",
            "address_2": "SUITE# 213",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147241",
            "telephone_number": "954-791-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADWAN",
        "first_name": "AMR",
        "middle_name": "HESHAM AHMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "28980",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "21608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R&a Mindcare LLC
• Yaribel Rabelo Rodriguez, DDS
• Nataly Rabelo
• Neda Rabeti
• Radwan Endodontic PLLC
• John F Raether, LMT
• Rafael Oliver-Vidaud
• Donna Rahal
• Asma Sadiq Raheem, M.D.
• Mariam Raheem

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.