Individual provider Active NPI

Isaac M Alshrouf, D.M.D

  • General Practice Dentistry
  • Zephyrhills, FL
National Provider Identifier
1346760576
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22758 Issued in FL
Practice address
7650 Gall Blvd
Zephyrhills, FL 33541-4313
Phone
(813) 364-5890
NPI assigned
Jun 20, 2017
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22758 FL Primary

Addresses

Primary practice location

7650 Gall Blvd
Zephyrhills, FL 33541-4313

Mailing address

30138 Marquette Ave
Wesley Chapel, FL 33545-4485
Phone (813) 466-8372

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170921001214 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9830463371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22758FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Castle 1St Dental Care PA General Practice Past Accepting new patients
Valley Forge Dental of FL PA General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1346760576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30138 MARQUETTE AVE",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454485",
            "telephone_number": "813-466-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414313",
            "telephone_number": "813-364-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHROUF",
        "first_name": "ISAAC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.