Abdullah E Abdelaziz

Primary specialty

DentistTaxonomy code 122300000X

License

DN28563 Issued in FL

Practice address

290 Alhambra Cir
Coral Gables, FL 33134-5143

Phone

(305) 239-8806

NPI assigned

Apr 20, 2020

Last updated

Dec 22, 2023By 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 3

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

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• .Shofnos and Adami, DDS PA

  • General Practice Dentistry
  • Hollywood, FL
  • NPI 1053413831
  NPD (past)
• Dentists of Coral Gables, PA

  dba Dentists of Coral Gables

  • Dentist
  • Coral Gables, FL
  • NPI 1477036481
  NPD (past)
• Sage Dental of Cooper City, PLLC

  • Dentist
  • Cooper City, FL
  • NPI 1992034664
  NPD (past)

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1356961395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ALHAMBRA CIR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345143",
            "telephone_number": "305-239-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ALHAMBRA CIR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345143",
            "telephone_number": "305-239-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Vicari Way",
            "address_purpose": "LOCATION",
            "city": "Little Egg Harbor Twp",
            "state": "NJ",
            "postal_code": "080874026",
            "country_code": "US",
            "telephone_number": "201-232-9145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELAZIZ",
        "first_name": "ABDULLAH",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02853700",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28563",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abanzamos, LLC.
• Stephanie Marie Abaunza
• Holley Renee Abbott
• Abc Behavior Development
• Abcs for Success, LLC
• Laila Louay Abdin
• Nour Adnan Abduljawad
• Alicia C Abella-Torrente, DDS
• Robert Abello, MD
• Miriam Frances Abety, PHD

• Dentist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.