Individual provider Active NPI

Firas Marouf, DMD

  • General Practice Dentistry
  • Winter Springs, FL
National Provider Identifier
1487665774
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17064 Issued in FL
Practice address
620 W State Road 434
Winter Springs, FL 32708-5330
Phone
(407) 327-0731
Fax
(407) 327-1018
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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 DN17064 FL Primary

Addresses

Primary practice location

620 W State Road 434
Winter Springs, FL 32708-5330

Mailing address

620 W State Road 434
Winter Springs, FL 32708-5330
Phone (407) 327-0731

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
DN17064FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New Smile Dentistry, PA Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1487665774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W STATE ROAD 434",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085330",
            "telephone_number": "407-327-0731",
            "fax_number": "407-327-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W STATE ROAD 434",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085330",
            "telephone_number": "407-327-0731",
            "fax_number": "407-327-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROUF",
        "first_name": "FIRAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.