Active NPI
Wafiek Badie Nakhla, D.M.D
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1417025792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN--13724
- Practice address
- 5028 Silver Star Rd
Orlando, FL 32808-4545 - Phone
- (407) 291-1997
- NPI assigned
- Dec 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN--13724 | FL | Primary |
Addresses
Primary practice location
5028 Silver Star Rd
Orlando, FL 32808-4545
Mailing address
1201 N Halifax Ave
Daytona Beach, FL 32118-3656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071271000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN--13724 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Star Dental Center Inc. | General Practice | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Orlando, FL
- NPI 1154694321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1417025792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N HALIFAX AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321183656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5028 SILVER STAR RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328084545",
"telephone_number": "407-291-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKHLA",
"first_name": "WAFIEK",
"middle_name": "BADIE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN--13724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071271000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.