Shovon Sayfaldin Kasem, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 20200 Issued in FL

Practice address

2560 E Hwy 50 Ste 103
Clermont, FL 34711-8411

Phone

(352) 989-5815

NPI assigned

Sep 18, 2013

Sex

Male

Sole proprietor

No

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

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.

• Kasem Dental LLC

  • General Practice Dentistry
  • Clermont, FL
  • NPI 1962240127
  Medicare reassignment NPD
• Edwin Acosta DDS Inc

  • Dentist
  • Clermont, FL
  • NPI 1356767610
  NPD (past)

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1497181739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 SADIE RIDGE RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347150027",
            "telephone_number": "850-443-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E HWY 50 STE 103",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118411",
            "telephone_number": "352-989-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASEM",
        "first_name": "SHOVON",
        "middle_name": "SAYFALDIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Karen, M.D.
• Jill Lynn Karnolt, RPH
• Elizabeth Karpov, RBT
• Angelica Kartsonis
• Kasem Dental LLC
• Santosh Reddy Katta, PHARMD
• Rupinder Preet Kaur, M.D.
• Punita Kaveti, MD
• Stephanie Nicole Kay
• Denise Kazmierczak, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.