Individual provider Active NPI

Ramzy Lotfi, D.M.D.

  • Dentist
  • Lady Lake, FL
National Provider Identifier
1407206162
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21895 Issued in FL
Practice address
560 N US Highway 27
Lady Lake, FL 32159-3776
Phone
(352) 350-7630
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21895 FL Primary

Addresses

Primary practice location

560 N US Highway 27
Lady Lake, FL 32159-3776

Mailing address

560 N US Highway 27
Lady Lake, FL 32159-3776
Phone (352) 350-7630

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
I20160920000840 FL Order and Referring Only - DentistPractitioner - Dentist 1456648401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21895FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1407206162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N US HIGHWAY 27",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593776",
            "telephone_number": "352-350-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N US HIGHWAY 27",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593776",
            "telephone_number": "352-350-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTFI",
        "first_name": "RAMZY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.