Jasmin Nazi Tarakmi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN29112 Issued in FL

Practice address

4300 Kings Hwy Ste 500
Port Charlotte, FL 33980-2953

Phone

(239) 344-2337

NPI assigned

Jun 11, 2024

Sex

Female

Sole proprietor

No

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.

• Family Health Centers of Southwest Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Myers, FL
  • NPI 1356853154
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1386486165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 COCONUT BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334123210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 KINGS HWY STE 500",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802953",
            "telephone_number": "239-344-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAKMI",
        "first_name": "JASMIN",
        "middle_name": "NAZI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "29112",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tandem Health Care of Port Charlotte, Inc. (Tandem Health Care of Port Charlotte)
• Tanweer Memon MD PA
• Denise Tapalaga
• Karen M Tar, APRN
• Leslie Tar, MD
• Tareq Al-Khatib
• Sulamita Tatchin
• Victoria Tatchin
• Miola Tatchyn
• Ashley Taylor

• Dentist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.