Individual provider Active NPI

Luma Gheith

  • Dentist
  • Tampa, FL
National Provider Identifier
1457768665
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20793 Issued in FL
Practice address
14825 N Florida Ave
Tampa, FL 33613-1825
Phone
(813) 969-2019
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20793 FL Primary

Addresses

Primary practice location

14825 N Florida Ave
Tampa, FL 33613-1825

Mailing address

8384 Golden Prairie Dr
Tampa, FL 33647-3241
Phone (713) 261-2339

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
I20150715001619 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0143533430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1457768665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8384 GOLDEN PRAIRIE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473241",
            "telephone_number": "713-261-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131825",
            "telephone_number": "813-969-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEITH",
        "first_name": "LUMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.