Lubna Alhalaseh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26336 Issued in FL

Practice address

1515 S Nova Rd
Daytona Beach, FL 32114-5815

Phone

(386) 947-9318

Fax

(386) 267-6043

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

No

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

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

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1427726579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TECHNOLOGY PARK STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467122",
            "telephone_number": "407-543-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S NOVA RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145815",
            "telephone_number": "386-947-9318",
            "fax_number": "386-267-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHALASEH",
        "first_name": "LUBNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Alent, D.O.
• Larry L Alexander, MD
• Patricia L Alexander
• Alexandra Crossman MD PA
• Brandon Jamal Alfred
• Luz M Alicea Berrios, MD
• Jasim Amir Alidina, MD
• Abdelrahman M Aljadi, MD
• Suha Alkadry, MD
• All Access Mobile Hemodialysis,LLC

• General Practice Dentistry in Daytona Beach, FL
• Providers in Daytona Beach, 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 Sep 17, 2021; 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.