Reda A. Abdel-Fattah, B.D.S., M.S., M.P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0008082 Issued in FL

Practice address

1050 NW 15TH St
Suite 211a
Boca Raton, FL 33486-1375

Phone

(561) 391-5331

Fax

(561) 750-1542

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 21, 2017 through Apr 21, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Reda a. Abdel-Fattah & Mervat M. Alattar

  • Public Health Dentistry
  • Boca Raton, FL
  • NPI 1336525112
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356484109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 211A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-391-5331",
            "fax_number": "561-750-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 211A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-391-5331",
            "fax_number": "561-750-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-FATTAH",
        "first_name": "REDA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.S., M.P.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0008082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Abbate, ARNP
• Abbe Polsyn PSYD PA
• Abbey Strauss MD PA
• Abby Bernal LCSW PA
• Abby Miller LCSW LLC
• Sana Abdel-Jabbar, D.M.D
• Magda Reda Abdelfattah, D.M.D.
• Diane Rose Abdo, PSY.D.
• Randy Abella, P.T.
• Erika Abitbol, APRN-C

• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.