Active NPI
Suvana Hashim, DDS
- General Practice Dentistry
- Jacksonville Beach, FL
National Provider Identifier
1447684493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN28758
- Practice address
- 2218 3Rd St S
Jacksonville Beach, FL 32250-4021 - Phone
- (904) 441-0632
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | DN28758 | FL | Primary |
Addresses
Primary practice location
2218 3Rd St S
Jacksonville Beach, FL 32250-4021
Mailing address
2218 3Rd St S
Jacksonville Beach, FL 32250-4021
Phone (904) 441-0632
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 |
|---|---|---|---|
| DN28758 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Dental - Jacksonville Beach | Dentist | Current | Accepting new patients |
Locations
2218 3rd St S
Jacksonville Beach, FL 32250
Phone (786) 720-0911
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.
-
- Dentist
- Jacksonville Beach, FL
- NPI 1912679580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1447684493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 3RD ST S",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322504021",
"telephone_number": "904-441-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 3RD ST S",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322504021",
"telephone_number": "904-441-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHIM",
"first_name": "SUVANA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Brooke Harris, OTD, OTR/L
- Michelle Harrison, M.A.
- Rick Kenneth Harrison, DMD
- Timothy R Hastings, MD
- Stephanie Lynn Haynes, P.T.
- Kimberly Ann Hazouri-Yeary, LMHC
- Healthcore Wellness PA (Ocean View Health)
- Healthwave Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.