Individual provider Active NPI

Haleemah B Ahmad, DDS

  • General Practice Dentistry
  • Fort Pierce, FL
National Provider Identifier
1437240835
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14245 Issued in FL
Practice address
714 Avenue C
Fort Pierce, FL 34950-4189
Phone
(772) 462-3800
NPI assigned
Sep 28, 2006
Last updated
May 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN14245 FL Primary

Addresses

Primary practice location

714 Avenue C
Fort Pierce, FL 34950-4189

Mailing address

5150 NW Milner Dr
Port St Lucie, FL 34983-3392
Phone (772) 462-3874

Other identifiers 1

IdentifierTypeStateIssuer
075332700MedicaidFL

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

LicenseStateTypeSpecialty
DN14245FLMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: haleemah.ahmad.1@28804.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1437240835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 NW MILNER DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833392",
            "telephone_number": "772-462-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 AVENUE C",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504189",
            "telephone_number": "772-462-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "HALEEMAH",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075332700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.