Individual provider Active NPI

Moamal Kamal Osman Sharfi, DMD

  • Dentist
  • Spring Hill, FL
National Provider Identifier
1487270252
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28684 Issued in FL
Practice address
4048 Commercial Way
Spring Hill, FL 34606-2398
Phone
(617) 306-4552
NPI assigned
Jun 17, 2020
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1858675 MA
Dentist 122300000X 28684 FL Primary

Addresses

Primary practice location

4048 Commercial Way
Spring Hill, FL 34606-2398

Mailing address

4048 Commercial Way
Spring Hill, FL 34606-2398
Phone (617) 306-4552

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMAIL Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220324001860 MA Order and Referring Only - DentistPractitioner - Dentist 4385039528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28684FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Smile VIII Inc CurrentSince Apr 16, 2023 Accepting new patients

Locations

1207 Washington St
Ste 40
Hanover, MA 02339
Phone (781) 826-3880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1487270252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062398",
            "telephone_number": "617-306-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062398",
            "telephone_number": "617-306-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARFI",
        "first_name": "MOAMAL",
        "middle_name": "KAMAL OSMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858675",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "28684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMAIL",
            "affiliation": "N",
            "endpointDescription": "medical",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1207 Washington St Ste 40",
            "city": "Hanover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023391683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.