Yara Abdelaziz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

27710 Issued in FL

Practice address

13127 Kings Lake Dr Unit 101
Gibsonton, FL 33534-3958

Phone

(813) 677-3047

NPI assigned

May 6, 2022

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Kidzone Dentistry PA

  • Pediatric Dentistry
  • Gibsonton, FL
  • NPI 1134531270
  NPD

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1487390167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 CASONA LN APT 6307",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407579",
            "telephone_number": "954-330-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13127 KINGS LAKE DR UNIT 101",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343958",
            "telephone_number": "813-677-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELAZIZ",
        "first_name": "YARA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Abouelsaad, DMD
• Doreen O Adjus, CNA
• Lucknine Aguy
• Toni Lavon Allen, LPN
• Daniel Alonso

• Dentist in Gibsonton, FL
• Providers in Gibsonton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.